Individual
KAITLYN NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6200
Mailing address
419 HERMAN ST, CRETE, IL 60417-2905
(708) 785-4523
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003736
IL
Other
Enumeration date
03/03/2015
Last updated
03/13/2019
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