RUSSEL LYONS

CHICAGO, IL
NPI1679609705
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.002107)
Enumeration Date2007-02-25
Last Update Date2015-10-15
Business Address
-- RUSSEL LYONS ATC
1611 W HARRISON ST
CHICAGO, IL 60612-4861
Phone number: 312-237-1248
Mailing Address
-- RUSSEL LYONS ATC
14226 S 84TH AVE
ORLAND PARK, IL 60462-2318
Phone number: 708-590-6387
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