Individual
KRISTIN SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
23915 W MAIN ST, SUITE C, PLAINFIELD, IL 60544-1967
(815) 609-0570
Mailing address
1111 PINE RIDGE CT, NORMAL, IL 61761-3965
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003864
IL
Other
Enumeration date
11/19/2014
Last updated
12/08/2015
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