Individual
SIDNEY DREYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1920 FOOTBALL DR, LAKE FOREST, IL 60045-4829
(847) 739-5403
Mailing address
1601 S CANDLESTICK WAY, WAUKEGAN, IL 60085-8670
(605) 759-5373
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
096004152
IL
2255A2300X
Athletic Trainer
096.004152
IL
Other
Enumeration date
03/17/2016
Last updated
12/08/2016
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