Individual
MR. CHRISTIAN JAMES AHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
3021 IROQUOIS RD, WILMETTE, IL 60091-1106
(847) 431-3519
Mailing address
3021 IROQUOIS RD, WILMETTE, IL 60091-1106
(847) 431-3519
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2799
MA
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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