Individual
JUSTIN SWORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
5530 S ELLIS AVE, CHICAGO, IL 60637-1402
(773) 702-3875
(773) 834-4470
Mailing address
5530 S ELLIS AVE, CHICAGO, IL 60637-1402
(773) 702-3875
(773) 834-4470
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002423
IL
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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