CRAIG W. DEVERELL

DECATUR, IL
NPI1255397592
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.000740)
Enumeration Date2006-04-25
Last Update Date2007-07-08
Business Address
Mr. CRAIG W. DEVERELL ATC, CSCS
1900 E LAKE SHORE DR SUITE 150
DECATUR, IL 62521-3824
Phone number: 217-428-6222
Mailing Address
Mr. CRAIG W. DEVERELL ATC, CSCS
5452 N KRUSE RD
MT ZION, IL 62549-2723
Phone number: 217-433-0123