Individual
PHILLIP BRENT ROSSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
8407 CASTLE DR, TINLEY PARK, IL 60487-7645
(708) 334-5039
Mailing address
8407 CASTLE DR, TINLEY PARK, IL 60487-7645
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003152
IL
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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