Individual
LEWIS JAMES SECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
740 N DELPHIA AVE, PARK RIDGE, IL 60068-2516
(224) 361-6144
Mailing address
740 N DELPHIA AVE, PARK RIDGE, IL 60068-2516
(224) 361-6144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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