SearchIllinois2255A2300X

Steven Bagus, ATC, NASM-PES

NPI 1770850141 · on the registry since 2011 · sole proprietor

Practice

Address
10312 Long Ave
Oak Lawn, IL 60453
Phone
(708) 528-0759

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-11-29

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