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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X |
| NPI Number | 1750384988 |
| LBN Legal business name | EAST SUBURBAN SPORTS MEDICINE CENTER, LTD. |
| Authorized official | JOHN BONAROTI - (VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/23/2005 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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