Organization
AHTLETICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN BRENDEL ATC (ATHLETIC TRAINER)
(773) 892-7638
Entity
Organization
Contact information
Practice address
799 CENTRAL AVE, HIGHLAND PARK, IL 60035-5637
(847) 681-8720
Mailing address
9307 IRVING PARK RD APT 20, SCHILLER PARK, IL 60176-2262
(773) 892-7638
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
096.002897
IL
Other
Enumeration date
07/13/2014
Last updated
07/13/2014
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