Individual
MATTHEW ROBERT WHITESELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSA, ATC
Contact information
Practice address
401 S STATE ST, ROBERT MORRIS UNIVERSITY, CHICAGO, IL 60605-1229
(847) 718-6707
(312) 935-4079
Mailing address
401 S. STATE ST., ROBERT MORRIS UNIVERSITY, CHICAGO, IL 60605
(847) 718-6707
(312) 935-4079
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0000001156
TN
2255A2300X
Athletic Trainer
Primary
096002069
IL
Other
Enumeration date
12/12/2007
Last updated
12/10/2015
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