JERRY CLAUDE VONDRUSKA

BLOOMINGDALE, IL
NPI1710019518
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  96000470)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
-- JERRY CLAUDE VONDRUSKA M.S.,ATC
153 S CIRCLE AVE
BLOOMINGDALE, IL 60108-1620
Phone number: 630-307-3651
Mailing Address
-- JERRY CLAUDE VONDRUSKA M.S.,ATC
153 S CIRCLE AVE
BLOOMINGDALE, IL 60108-1620
Phone number:
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