DAVID HEIDLOFF

OAK PARK, IL
NPI1700153426
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.002455)
Enumeration Date2011-11-23
Last Update Date2011-11-23
Business Address
-- DAVID HEIDLOFF ATC, NASM-PES
126 N ELMWOOD AVE APT C3
OAK PARK, IL 60302-2628
Phone number: 309-287-9553
Mailing Address
-- DAVID HEIDLOFF ATC, NASM-PES
126 N ELMWOOD AVE C3
OAK PARK, IL 60302
Phone number:
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