ILENE KEIVEL

OSWEGO, IL
NPI1760514525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  96001986)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
-- ILENE KEIVEL
425 GRAPE VINE TRL
OSWEGO, IL 60543-6036
Phone number: 630-551-3006
Mailing Address
-- ILENE KEIVEL
425 GRAPE VINE TRL
OSWEGO, IL 60543-6036
Phone number: