Individual
KAILEE RUZICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16242 LAKESIDE DR, LOCKPORT, IL 60441-7027
(630) 200-2707
Mailing address
16242 LAKESIDE DR, LOCKPORT, IL 60441-7027
(630) 200-2707
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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