Benjamin Alexander Black, ATC
NPI #1699751396 in Willow Brook, Illinois
Provider Information
- NPI Number
- 1699751396
- Entity Type
- Individual
- Name
- Benjamin Alexander Black, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Dec 15, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 207 63RD ST
- Address 2
- ATHLETICO
- City
- Willow Brook
- State
- Illinois
- ZIP Code
- 60527-2147
- Phone
- (630) 230-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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