Individual
KEELAN SCHMIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
428 W BELDEN AVE APT 9, CHICAGO, IL 60614-3828
(920) 246-3317
Mailing address
428 W BELDEN AVE APT 9, CHICAGO, IL 60614-3828
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003677
IL
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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