Individual
ANDREW SHADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 197TH PL, CHICAGO HEIGHTS, IL 60411-7539
(708) 755-3020
Mailing address
3313 SHADOWOOD DR, CRYSTAL LAKE, IL 60012-1337
(815) 353-7736
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/06/2014
Last updated
01/13/2015
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