MR. Sandy A. Krum, ATC/L

NPI #1063485738 in Chicago, Illinois

Provider Information

NPI Number: 1063485738
Entity Type: Individual
Name: MR. Sandy A. Krum, ATC/L
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Contractor
Credential: ATC/L
Enumeration Date: Feb 10, 2006
Last Updated: Jul 25, 2007

Practice Location

Address: 1278 N MILWAUKEE AVE
Address 2: NUMBER 2W
City: Chicago
State: Illinois
ZIP Code: 60622-2289
Phone: (773) 308-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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