Individual
RYAN D LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
903 APPALOOSA TRL, PLANO, IL 60545-2102
(630) 333-5562
Mailing address
903 APPALOOSA TRL, PLANO, IL 60545-2102
(630) 333-5562
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003941
IL
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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