| NPI | 1659469617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE MICHAEL ROSS Graduate Assistant Athletic Trainer 773-844-1247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 1226) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |