Individual
MR. NATHANIEL DAVID VILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
1515 S 4TH ST, DEKALB, IL 60115-4656
(815) 754-2100
Mailing address
9273 E SANDWICH RD, HINCKLEY, IL 60520-6046
(815) 739-8540
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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