JOSIAH DOUGLAS

AURORA, IL
NPI1356123079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL  096.004760)
Enumeration Date2023-10-17
Last Update Date2023-10-17
Business Address
JOSIAH DOUGLAS LAT, ATC
1500 SULLIVAN RD
AURORA, IL 60506-1067
Phone number: 630-907-5000
Mailing Address
JOSIAH DOUGLAS LAT, ATC
30 N BROADWAY UNIT B
AURORA, IL 60505-3312
Phone number:
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