Individual
MS. CAROL J HUMBLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS ATC
Contact information
Practice address
21 W 466 BUCKINGHAM RD, GLEN ELLYN, IL 60137-6425
(630) 469-6089
Mailing address
21 W 466 BUCKINGHAM RD, GLEN ELLYN, IL 60137-6425
(630) 469-6089
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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