Individual
MAXWELL W BEARDSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 S BRAINARD ST, NAPERVILLE, IL 60540-5448
(630) 637-5563
Mailing address
440 S BRAINARD ST, NAPERVILLE, IL 60540-5448
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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