Individual
MATTHEW HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7191 S KINGERY HWY, STE L6, WILLOWBROOK, IL 60527-5525
(630) 455-6630
Mailing address
7191 S KINGERY HWY, STE L6, WILLOWBROOK, IL 60527-5525
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
090061323
IL
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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