NPI | 1366072555 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN VANRADEN Assistant Ad/Head Athletic Trainer 630-829-6154 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2020-01-16 |
Last Update Date | 2020-01-16 |