NPI 1356878870

Autum Korosic, MSATC

Practitioner Athletic Trainer Bolingbrook, IL

Practice location

Address: 790 Remington Blvd, Bolingbrook, IL 60440-4909
Phone: (708) 238-1456
Mailing address: 20539 S White Fence CT, Frankfort, IL 60423-8711

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096004175 (IL)

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1356878870
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2017
Record last updated: 15 May 2017

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.