Individual
MR. RICHARD G NOELTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
716 FLORSHEIM DR, LIBERTYVILLE, IL 60048-3757
(847) 918-9077
Mailing address
31696 N BORRE DR, LAKEMOOR, IL 60051-2297
(815) 271-5083
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
630039
WI
2255A2300X
Athletic Trainer
AL1792
FL
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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