Individual
DONALD P NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1020 DUNHAM ROAD, ST. CHARLES EAST HIGH SCHOOL, ST. CHARLES, IL 60174
(331) 228-4339
Mailing address
844 4TH AVE, GENEVA, IL 60134-1466
(630) 232-8263
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96000029
IL
Other
Enumeration date
03/09/2007
Last updated
02/24/2015
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