Individual
AUTUM KOROSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(708) 238-1456
Mailing address
20539 S WHITE FENCE CT, FRANKFORT, IL 60423-8711
(708) 238-1456
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004175
IL
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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