Individual
KEVIN W RYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3082 CATON FARM RD, JOLIET, IL 60435-1455
(815) 577-9936
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-002699
IL
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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