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1043655145
MARK DEMCHAK
WARRENVILLE, IL
NPI
1043655145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096003197)
Enumeration Date
2013-05-02
Last Update Date
2013-05-02
Business Address
-- MARK DEMCHAK ATC
27650 FERRY RD
WARRENVILLE, IL 60555-3845
Phone number: 630-225-2663
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Mailing Address
-- MARK DEMCHAK ATC
27650 FERRY RD
WARRENVILLE, IL 60555-3845
Phone number: 630-225-2663
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