Individual
MR. DAVID A ENSIGN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA, ATC, LAT, CSCS
Contact information
Practice address
3082 CATON FARM RD, JOLIET, IL 60435-1455
(815) 577-9936
(815) 577-9938
Mailing address
642 DEAMES STREET, PLANO, IL 60545
(630) 273-2721
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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