NATHANIEL DAVID VILAND

DEKALB, IL
NPI1124131800
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.002257)
Enumeration Date2006-08-16
Last Update Date2007-07-08
Business Address
Mr. NATHANIEL DAVID VILAND A.T.C.
1515 S 4TH ST
DEKALB, IL 60115-4656
Phone number: 815-754-2100
Mailing Address
Mr. NATHANIEL DAVID VILAND A.T.C.
9273 E SANDWICH RD
HINCKLEY, IL 60520-6046
Phone number: 815-739-8540