NPI 1255390266

Jason Todd Adolph, MSLATATC

Practitioner Athletic Trainer Shorewood, IL

Practice location

Address: 972 Brook Forest Ave, Shorewood, IL 60431-8807
Phone: (815) 439-4938
Fax: (630) 439-7816
Mailing address: 5950 Oakwood Dr APT #2m, Lisle, IL 60532-3085

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1255390266
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2006
Record last updated: 8 Jul 2007

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.