Cire Nicolas Juanico Tan
Cire Nicolas Juanico Tan is an Athletic Trainer in Lindenhurst, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
870 Greenwood DrLindenhurst, IL 60046-1717
Phone: (224) 518-3215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1093536658 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 17, 2024 |
| Last updated in NPPES | October 17, 2024 |
| Certification date | October 17, 2024 |
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