Individual provider · Type 1 NPI

Allyson Rose Viederis

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

NPI number 1952882102 Active

Practice location

30 N Brainard St
Naperville, IL 60540-4607

Call (181) 597-9211 Map

Mailing address

6759 Crown Rdg
Rockford, IL 61103-8872

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1952882102

Allyson Rose Viederis's National Provider Identifier is 1952882102, issued on Aug 26, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Naperville, IL. The record was last updated on Aug 26, 2018.