PHILLIP BRENT ROSSBERG

TINLEY PARK, IL
NPI1942587688
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003152)
Enumeration Date2011-11-09
Last Update Date2011-11-09
Business Address
-- PHILLIP BRENT ROSSBERG ATC, LAT
8407 CASTLE DR
TINLEY PARK, IL 60487-7645
Phone number: 708-334-5039
Mailing Address
-- PHILLIP BRENT ROSSBERG ATC, LAT
8407 CASTLE DR
TINLEY PARK, IL 60487-7645
Phone number:
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