JONATHAN ANDREW BEATY

AURORA, IL
NPI1154387686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-002182)
Enumeration Date2006-04-24
Last Update Date2007-11-30
Business Address
Mr. JONATHAN ANDREW BEATY ATC, CSCS
4334 FOX VALLEY CENTER DR SUITE C
AURORA, IL 60504-7945
Phone number: 630-618-9310
Mailing Address
Mr. JONATHAN ANDREW BEATY ATC, CSCS
1225 ASH ST
ST CHARLES, IL 60174-4120
Phone number: 630-618-9310
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