Individual
ELIZABETH WAJSWOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2065 HALF DAY RD, DEERFIELD, IL 60015-1241
(847) 945-8800
Mailing address
2065 HALF DAY RD, DEERFIELD, IL 60015-1241
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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