Individual
RYAN NAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25542 W WACKER DR, LAKE VILLA, IL 60046-9130
(847) 571-7853
Mailing address
25542 W WACKER DR, LAKE VILLA, IL 60046-9130
(847) 571-7853
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002686
IL
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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