Individual
TYLER NOHREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
313 N WEBER RD, BOLINGBROOK, IL 60490-1569
(630) 771-0850
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002708
IL
Other
Enumeration date
06/02/2011
Last updated
09/27/2012
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