Individual
TYLER JON KOLLMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ATC, CSCS
Contact information
Practice address
205 W WACKER DR, STE. 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Mailing address
198 ARLENE CT UNIT A, WHEELING, IL 60090-4308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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