NPI 1023366879

Gregory Brian Nordlund, MAATCLPES

Practitioner Athletic Trainer Chicago, IL

Practice location

Address: 5530 S Ellis Ave, Chicago, IL 60637-1402
Phone: (773) 702-1048
Mailing address: 1668 Williamsburg CT. Unit D, Wheaton, IL 60189

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096003122 (IL)

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Registry record

NPI: 1023366879
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2012
Record last updated: 9 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.