Individual
RICHARD CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS ATC
Contact information
Practice address
1393 W 52ND PL, LA GRANGE HIGHLANDS, IL 60525-6501
(708) 352-6383
Mailing address
1393 W 52ND PL, LA GRANGE HIGHLANDS, IL 60525-6501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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