| NPI | 1710456199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MCHORNEY Athletic Director 630-829-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |