Individual
AUSTIN WIELGOSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12337 SOUTH, ILLINOIS ROUTE 59, SUITE 119, PLAINFIELD, IL 60585
(815) 267-6263
Mailing address
24157 S EDWIN DR, CHANNAHON, IL 60410-5210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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