William Goreth
William Goreth is an Athletic Trainer in Dekalb, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1311 W Lincoln Hwy Apt QDekalb, IL 60115-2970
Phone: (847) 702-4171
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1063950277 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 8, 2017 |
| Last updated in NPPES | February 8, 2017 |
| Mailing address | 48w930 Il Route 64, Maple Park, IL 60151-8581 |
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