Individual
MR. JAMES DAVID SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,ATC
Contact information
Practice address
302 E EMERSON ST, BLOOMINGTON, IL 61701-1768
(309) 556-3340
Mailing address
2212 13TH STREET, PERU, IL 61354
(815) 252-1237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002933
IL
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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