Individual
BRIAN OUDSTEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2320 W JEFFERSON ST, JOLIET, IL 60435-6427
(815) 741-3758
(815) 741-3974
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002534
IL
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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