Individual
MR. KEVIN M HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
19321 JACQUIE AVE, ROMEOVILLE, IL 60446-1902
(815) 693-0838
Mailing address
19321 JACQUIE AVE, ROMEOVILLE, IL 60446-1902
(815) 693-0838
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
03/30/2015
Last updated
12/20/2025
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