Individual
CAITLYN ELWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, OTC
Contact information
Practice address
636 RAYMOND DR STE 205, NAPERVILLE, IL 60563-9791
(800) 543-7362
Mailing address
636 RAYMOND DR STE 205, NAPERVILLE, IL 60563-9791
(800) 543-7362
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004040
IL
2255A2300X
Athletic Trainer
2000020646
—
246ZX2200X
Orthopedic Assistant
—
IL
Other
Enumeration date
06/17/2019
Last updated
08/18/2023
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