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1356878870
AUTUM KOROSIC
BOLINGBROOK, IL
NPI
1356878870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096004175)
Enumeration Date
2017-05-15
Last Update Date
2017-05-15
Business Address
AUTUM KOROSIC MS, ATC
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 708-238-1456
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Mailing Address
AUTUM KOROSIC MS, ATC
20539 S WHITE FENCE CT
FRANKFORT, IL 60423-8711
Phone number: 708-238-1456
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