ERIC MICHAEL STREETER

CHAMPAIGN, IL
NPI1083609648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-001764)
Enumeration Date2005-09-20
Last Update Date2015-04-16
Business Address
Mr. ERIC MICHAEL STREETER MS, ATC
2040 S NEIL ST
CHAMPAIGN, IL 61820-7220
Phone number: 217-352-3330
Mailing Address
Mr. ERIC MICHAEL STREETER MS, ATC
2204 E TRAILSIDE DR N
MAHOMET, IL 61853-8512
Phone number: 217-622-7175
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