Individual
IAN SWINDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1051 W SOUTH ST, KEWANEE, IL 61443-8354
(309) 852-7939
Mailing address
PO BOX 747, KEWANEE, IL 61443-0747
(309) 852-7939
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002591
IL
Other
Enumeration date
04/25/2022
Last updated
04/26/2022
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