Individual
MR. AUGUST MAX BERTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
425 FAWELL BLVD, ATHLETICS, GLEN ELLYN, IL 60137-6708
(630) 942-2346
(630) 858-5404
Mailing address
425 FAWELL BLVD, ATHLETICS, GLEN ELLYN, IL 60137-6708
(630) 942-2346
(630) 942-3780
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96001804
IL
Other
Enumeration date
02/20/2006
Last updated
01/21/2008
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