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

JERRY CLAUDE VONDRUSKA, M.S.,ATC

Active Sole Proprietor

JERRY CLAUDE VONDRUSKA, M.S.,ATC is a Athletic Trainer healthcare provider located in BLOOMINGDALE, Illinois. NPI 1710019518 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BLOOMINGDALE, IL

Registration Details

NPI Number
1710019518
Provider Type
Individual
Gender
Male
NPI Issued
Mar 9, 2007 (19.417427908781 yrs)
Last Updated
Jul 8, 2007
License
96000470 (IL)
Sole Proprietor
Yes

Practice Information

Address
153 S CIRCLE AVE
BLOOMINGDALE, IL, 601081620
Browse IL providers · Browse ZIP 60108
Phone
6303073651
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BLOOMINGDALE, IL

Name Credential NPI
MR. SEAN HOPKINS ATC 1750658217
KRISTIN STROMBERG ATC 1750789038
MELISSA JO VALESKA MCKINNEY ATC 1316322720
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.