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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JASON TODD ADOLPH, MS, LAT ATC

Active

MR. JASON TODD ADOLPH, MS, LAT ATC is a Athletic Trainer healthcare provider located in SHOREWOOD, Illinois. NPI 1255390266 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SHOREWOOD, IL

Registration Details

NPI Number
1255390266
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2006 (20.373031259758 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
972 BROOK FOREST AVE
SHOREWOOD, IL, 604318807
Browse IL providers · Browse ZIP 60431
Phone
8154394938
Fax
6304397816
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SHOREWOOD, IL

Name Credential NPI
MISS GIANA GIERMALA MS, LAT, ATC 1558320580
HOLLY ANN BOERSMA ATC 1912013269
KERRI LANUM ATC 1003025941
WILLIAM E SOBODAS II ATC 1104057264
JEWELLIE M HOCHSTEIN 1063707453
MS. REBECCA ANN HERBERT M.S., LAT, ATC 1003186370
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.