SearchIllinois2255A2300X

Christian Ahlstrom, MAT, LAT, ATC

NPI 1396110128 · on the registry since 2015 · sole proprietor

Practice

Address
3021 Iroquois Rd
Wilmette, IL 60091
Phone
(847) 431-3519

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois