BRIAN LEE BALL

CHICAGO, IL
NPI1134117724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-001867)
Enumeration Date2005-10-09
Last Update Date2007-07-08
Business Address
-- BRIAN LEE BALL ATC
333 W 35TH ST
CHICAGO, IL 60616-3651
Phone number: 312-674-1000
Mailing Address
-- BRIAN LEE BALL ATC
16365 CARAWAY CT
LOCKPORT, IL 60441-4757
Phone number: 815-588-1516
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