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Individual

JAMES BEDOLLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
229 EMMERSON AVE, ITASCA, IL 60143-2208
(847) 687-6239
Mailing address
229 EMMERSON AVE, ITASCA, IL 60143-2208
(847) 687-6239

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003457
IL

Other

Enumeration date
11/12/2014
Last updated
11/12/2014
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