Individual
DANIEL LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5926 CALUMET AVE, HAMMOND, IN 46320-2505
(312) 752-0322
Mailing address
4537 S RICHMOND ST, CHICAGO, IL 60632-1927
(312) 752-0322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003487
IL
2255A2300X
Athletic Trainer
36002214A
IN
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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