NPI 1174598668

August Max Bertman, ATC

Practitioner Athletic Trainer Glen Ellyn, IL

Practice location

Address: 425 Fawell Blvd Athletics, Glen Ellyn, IL 60137-6708
Phone: (630) 942-2346
Fax: (630) 858-5404

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 96001804 (IL)

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1174598668
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2006
Record last updated: 21 Jan 2008

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.