Individual
NICOLE CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
701 W SCHICK RD, BARTLETT, IL 60103-3046
(630) 372-4700
(630) 372-4692
Mailing address
714 BLUFF ST, #203, CAROL STREAM, IL 60188-3429
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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