Individual
ALEX CHRISTOPHER DEBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 N BRAINARD ST, NAPERVILLE, IL 60540-4607
(630) 637-5100
Mailing address
1331 POST RD, AURORA, IL 60506-1321
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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