Individual
ANDREW WYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1209 W OGDEN AVE, LA GRANGE PARK, IL 60526-1700
(708) 387-8584
Mailing address
1209 W OGDEN AVE, LA GRANGE PARK, IL 60526-1700
(708) 387-8584
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003363
IL
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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