NATHANIEL BO ANDERSON

CHICAGO, IL
NPI1811181969
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-002493)
Enumeration Date2007-08-31
Last Update Date2007-08-31
Business Address
-- NATHANIEL BO ANDERSON ATC
6560 W FULLERTON AVE
CHICAGO, IL 60707-3439
Phone number: 773-745-0338
Mailing Address
-- NATHANIEL BO ANDERSON ATC
5047 N CENTRAL PARK AVE APT 2B
CHICAGO, IL 60625-5540
Phone number:
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