| NPI | 1760353072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MASSAR Authorized Official 847-250-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |