NPI 1619387651

Richard Staiert, MAATCPES

Practitioner Athletic Trainer Hillside, IL

Practice location

Address: 1919 S Wolf Rd #322, Hillside, IL 60162-2163
Phone: (402) 680-2457

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096.003465 (IL)

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1619387651
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2014
Record last updated: 29 Apr 2014

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.