Individual
NATHAN A VANRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5700 COLLEGE RD, LISLE, IL 60532-0900
(630) 829-6154
(630) 839-3696
Mailing address
14421 W MELBOURNE PL, LOCKPORT, IL 60441-6016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002607
IL
Other
Enumeration date
11/04/2010
Last updated
01/07/2019
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