Individual
KRIS ALAN SCHWIDERSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
(217) 479-5675
Mailing address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
(217) 479-5675
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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