NICHOLAS FORSYTHE

NEW LENOX, IL
NPI1356542427
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096002302)
Enumeration Date2007-05-29
Last Update Date2007-07-08
Business Address
-- NICHOLAS FORSYTHE LAT
2499 E JOLIET HWY UNIT 112
NEW LENOX, IL 60451-2592
Phone number: 815-462-9420
Mailing Address
-- NICHOLAS FORSYTHE LAT
25561 OCONNEL LN
MANHATTAN, IL 60442-6241
Phone number: