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Contact Information

KELSEY R WEDWICK, ATC
420 N ILLINOIS RTE 31
CRYSTAL LAKE, IL60012
 Phone: 815-656-5600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for KELSEY R WEDWICK · (Female)

NPI # 1154032274
Status Active
Credentials ATC
Entity Individual
Enumeration date 12/09/2022
Last updated 12/09/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 096004094
  • Other 2000009754 ATHLETIC TRAINING BOARD OF CERTIFICATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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