NPI 1104057264

William E Sobodas, ATC

Practitioner Athletic Trainer Shorewood, IL

Practice location

Address: 972 Brook Forest Ave, Shorewood, IL 60404-8807
Phone: (815) 439-4938
Mailing address: 790 Remington Blvd, Bolingbrook, IL 60440-4909

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096-002677 (IL)

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1104057264
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2009
Record last updated: 6 Aug 2009

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.