Individual
CANDICE CARUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2400 HOME AVE, BERWYN, IL 60402-2110
(708) 780-4100
Mailing address
1941 CLARENCE AVE # 1S, BERWYN, IL 60402-5045
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003545
IL
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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