NATHANIEL EDWARD SEVILLE

BOLINGBROOK, IL
NPI1770591919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL  096.002404)
Enumeration Date2006-08-03
Last Update Date2015-02-03
Business Address
NATHANIEL EDWARD SEVILLE MAED, ATC/L
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
Mailing Address
NATHANIEL EDWARD SEVILLE MAED, ATC/L
517 LIVINGSTON DR
NEW LENOX, IL 60451-1626
Phone number: 708-250-3272