Individual
MR. JAN TERENCE SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7530 FOSTER ST, MORTON GROVE, IL 60053-1153
(847) 414-2813
Mailing address
7530 FOSTER ST, MORTON GROVE, IL 60053-1153
(847) 414-2813
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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