Individual
KATHERINE DUSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
849 HEARTHSTONE CT, AURORA, IL 60506-1952
(630) 303-8887
Mailing address
849 HEARTHSTONE CT, AURORA, IL 60506-1952
(630) 303-8887
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003158
IL
Other
Enumeration date
05/23/2015
Last updated
05/23/2015
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