Individual
MR. JASON TODD ADOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT ATC
Contact information
Practice address
972 BROOK FOREST AVE, SHOREWOOD, IL 60431-8807
(815) 439-4938
(630) 439-7816
Mailing address
5950 OAKWOOD DR, APT #2M, LISLE, IL 60532-3085
(630) 631-7990
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/20/2006
Last updated
07/08/2007
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