Individual
EMILY O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12345 S 82ND AVE, PALOS PARK, IL 60464-1915
(708) 601-0394
Mailing address
12345 S 82ND AVE, PALOS PARK, IL 60464-1915
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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