Individual
MR. CHAD C CERULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
1 UNIVERSITY CIR, WESTERN HALL, MACOMB, IL 61455-1367
(309) 313-4775
Mailing address
721 LAWNDALE DR, MACOMB, IL 61455-3027
(309) 313-4775
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002373
IL
Other
Enumeration date
01/19/2007
Last updated
07/08/2014
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