NPI | 1235536012 |
---|---|
Entity Type | Organization |
Authorized Contact | CHEVON MALTBIA Athletic Trainer 773-676-7692 |
Organization Subpart ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096002737) |
Enumeration Date | 2014-11-22 |
Last Update Date | 2014-11-22 |