Individual
CASEY JEAN DUVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2601 BUNKER HILL DR, ALGONQUIN, IL 60102-9780
(847) 532-6153
Mailing address
122 LAKEWOOD DR, OAKWOOD HILLS, IL 60013-1122
(312) 479-8689
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003994
IL
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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