THANE ROCKWELL HALSTEAD

AURORA, IL
NPI1629047568
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL  096-0000388)
Enumeration Date2006-03-14
Last Update Date2007-07-08
Business Address
MR. THANE ROCKWELL HALSTEAD ATC
1201 W NEW YORK ST
AURORA, IL 60506-3667
Phone number: 630-301-6629
Mailing Address
MR. THANE ROCKWELL HALSTEAD ATC
2503 N WASHTENAW AVE
CHICAGO, IL 60647-1815
Phone number: 773-213-2224
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