Individual
JACOB NAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 S 1ST ST, CHAMPAIGN, IL 61820-6916
(217) 300-7037
Mailing address
605 TEAL CV, CHAMPAIGN, IL 61821-3544
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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