Individual
MR. JONATHAN ANDREW BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
4334 FOX VALLEY CENTER DR, SUITE C, AURORA, IL 60504-7945
(630) 618-9310
Mailing address
1225 ASH ST, ST CHARLES, IL 60174-4120
(630) 618-9310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
04/24/2006
Last updated
11/30/2007
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