Individual
JASON CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
701 W SCHAUMBURG RD, STREAMWOOD, IL 60107-1262
(630) 213-5500
(630) 213-5631
Mailing address
714 BLUFF ST, #203, CAROL STREAM, IL 60188-3429
(630) 260-8850
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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