Individual provider · Type 1 NPI

Brian Kretschmer, ATC

Student in an Organized Health Care Education/Training Program · Oak Lawn, IL

NPI number 1457320467 Active

Practice location

9400 Southwest Hwy
Oak Lawn, IL 60453-2372

Mailing address

6221 W 90th Pl
Oak Lawn, IL 60453-1540

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457320467

Brian Kretschmer, ATC's National Provider Identifier is 1457320467, issued on Mar 14, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oak Lawn, IL. The record was last updated on Jul 13, 2026.