Individual
NATHAN DAVID SCHWARTZKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1340 A STREET, CHARLESTON, IL 61920
(217) 556-4236
Mailing address
1340 A STREET, CHARLESTON, IL 61920
(217) 556-4236
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002985
IL
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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