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1003646407
LUKE PICEK
GLENVIEW, IL
NPI
1003646407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 096.005599)
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
LUKE PICEK MS LAT ATC
2401 RAVINE WAY # 100
GLENVIEW, IL 60025-7645
Phone number: 847-499-1708
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Mailing Address
LUKE PICEK MS LAT ATC
124 6TH ST
DOWNERS GROVE, IL 60515-5361
Phone number: 708-548-1738
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