Aristidis John Adrahtas, ATC, MS
Specialist/Technologist, Athletic Trainer in Chicago, IL. Individual provider (NPI-1).
NPI number1962038604
StatusActive
Last updated in NPPESMar 13, 2020
Details
- NPI
- 1962038604
- Entity type
- Individual (NPI-1)
- Name
- Aristidis John Adrahtas
- Credential
- ATC, MS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2020
- Certification date
- Mar 13, 2020
- Last updated
- Mar 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096.004304 | IL | Yes |
Practice location
2501 W Addison StChicago, IL 60618-5902
Phone 773-534-5400
Mailing address
3915 W Greenleaf AveLincolnwood, IL 60712-2525
Phone 847-529-4399
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