Individual
ELIZABETH ANTOSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2234 LAKE RIDGE DRIVE, GLENDALE HEIGHTS, IL 60139
(224) 636-1992
Mailing address
3899 NOBEL DRIVE, 1421, SAN DIEGO, CA 92122
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E3297785
CA
2255A2300X
Athletic Trainer
Primary
20000017381
IL
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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