Individual
DAULTON TIMOTHY HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
666 DUNDEE RD STE 1004, NORTHBROOK, IL 60062-2735
(847) 748-1316
Mailing address
666 DUNDEE RD STE 1004, NORTHBROOK, IL 60062-2735
(847) 748-1316
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.005698
IL
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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