Jerry Claude Vondruska, M.S.,ATC Valid NPI

Individual provider · Athletic Trainer · Bloomingdale, IL

NPI

1710019518

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

96000470 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-09

Last updated

2007-07-08