NPI 1528213030

Keith Allen Vansoelen, ATC

Practitioner Athletic Trainer Hinsdale, IL

Practice location

Address: 55th and Grant Streets, Hinsdale, IL 60521
Phone: (630) 570-8240
Mailing address: 577 Grand Parke Dr, Jacksonville, FL 32259-5258

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL 1258 (FL)

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1528213030
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Nov 2008
Record last updated: 14 Oct 2011

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.