Individual
SCOTT WILLIAM SUNDERLAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
2 E SOUTH ST, K-226, GALESBURG, IL 61401-4986
(309) 341-7378
(309) 341-7091
Mailing address
95 CHESTNUT CT, DAHINDA, IL 61428-9732
(309) 879-2892
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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