Individual
HENRY T BREAM III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
1000 FOOTBALL DR, LAKE FOREST, IL 60045-4829
(847) 295-6600
(847) 295-8953
Mailing address
544 CLIFFWOOD LN, GURNEE, IL 60031-5666
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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