| NPI | 1720495625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN BRENDEL Athletic Trainer 773-892-7638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: IL 096.002897) |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2014-07-13 |