Individual
DAVID HEIDLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, NASM-PES
Contact information
Practice address
126 N ELMWOOD AVE, APT C3, OAK PARK, IL 60302-2628
(309) 287-9553
Mailing address
126 N ELMWOOD AVE C3, OAK PARK, IL 60302
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002455
IL
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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