Individual
KIERSTIN TOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 W JACKSON BLVD, CHICAGO, IL 60606-6923
(312) 407-0143
Mailing address
8837 MAJOR AVE, MORTON GROVE, IL 60053-2531
(847) 542-1486
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004940
IL
Other
Enumeration date
11/29/2018
Last updated
11/19/2020
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