Individual
MR. LARRY LEE JAMES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LAT, ATC
Contact information
Practice address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Mailing address
PO BOX 3677, HOUMA, LA 70361-3677
(985) 232-2879
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004806
IL
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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