Individual
JOSH BLAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
107 TREMONT ST, HOPEDALE, IL 61747-7525
(309) 449-4501
(309) 449-4525
Mailing address
107 TREMONT ST, HOPEDALE, IL 61747-7525
(309) 449-4501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003416
IL
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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