Individual
CARL-ERIK LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
20060 GOVERNORS DR, OLYMPIA FIELDS, IL 60461-1029
(708) 283-1789
Mailing address
1420 KENSINGTON RD STE 106, OAK BROOK, IL 60523-2144
(630) 427-4192
(630) 574-1681
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003012
IL
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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