EDIN ALIC

ROCKFORD, IL
NPI1427830074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-10-18
Last Update Date2024-01-26
Business Address
EDIN ALIC
5050 E STATE ST
ROCKFORD, IL 61108-2311
Phone number: 773-757-3454
Mailing Address
EDIN ALIC
5050 E STATE ST
ROCKFORD, IL 61108-2311
Phone number: 773-757-3454
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