Individual
MR. JAMES ALAN BEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSENCED ATHLETIC T
Contact information
Practice address
2418 W INDIAN TRL, SUITE G, AURORA, IL 60506-1589
(630) 907-9561
Mailing address
3293 KNOLLWOOD CIR, GENEVA, IL 60134-4631
(630) 232-0528
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0960000640
IL
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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