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Individual

EDWARD HALBUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1060 W ADDISON ST, CHICAGO, IL 60613-4566
(773) 404-4218
Mailing address
2806 E DIEHL AVE, DES MOINES, IA 50320-2150
(515) 285-9285

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
00334
IA
2255A2300X
Athletic Trainer
0392
AZ
2255A2300X
Athletic Trainer
Primary
096.002039
IL

Other

Enumeration date
04/04/2016
Last updated
04/04/2016
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