Individual
KELLY JO CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
27650 FERRY RD, WARRENVILLE, IL 60555-3845
(630) 225-2466
Mailing address
26W255 BOX ELDER AVE, WHEATON, IL 60187-2906
(630) 225-2466
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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