Individual
KACEY BARTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1600 BIG TIMBER RD, HAMPSHIRE, IL 60140-8374
(847) 792-3573
Mailing address
714 PORTEN RD, MCHENRY, IL 60051-9795
(708) 334-3846
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003902
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200018147
IDFPR
IL
Enumeration date
06/08/2022
Last updated
06/08/2022
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