Individual
NATHAN REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1525 W LINCOLN HWY, DEKALB, IL 60115-3989
(815) 753-0211
Mailing address
401 DEERPATH LN E, DEKALB, IL 60115-8951
(805) 588-4971
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004355
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096.004355
ATHLETIC TRAINER
IL
Enumeration date
01/18/2017
Last updated
01/18/2017
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