TIMOTHY DESMOND MIZDRAK

CHICAGO, IL
NPI1104399856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.004715)
Enumeration Date2019-01-05
Last Update Date2019-01-05
Business Address
TIMOTHY DESMOND MIZDRAK ATC, LAT
1133 S STATE ST # B500
CHICAGO, IL 60605-2699
Phone number: 847-894-6221
Mailing Address
TIMOTHY DESMOND MIZDRAK ATC, LAT
1133 S STATE ST # B500
CHICAGO, IL 60605-2699
Phone number: 847-894-6221
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