Edin Alic
Edin Alic is an Athletic Trainer in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
5050 E State StRockford, IL 61108-2311
Phone: (773) 757-3454
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X (IL) |
|---|
Record details
| NPI number | 1427830074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2023 |
| Last updated in NPPES | January 26, 2024 |
| Certification date | December 5, 2023 |
| Mailing address | 5050 E State St, Rockford, IL 61108-2311 |
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