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1124487517
MICHAEL GENOVA
GLENVIEW, IL
NPI
1124487517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096003954)
Enumeration Date
2016-02-15
Last Update Date
2016-02-15
Business Address
-- MICHAEL GENOVA A.T.C
2401 RAVINE WAY
GLENVIEW, IL 60025-7645
Phone number: 847-998-5680
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Mailing Address
-- MICHAEL GENOVA A.T.C
5755 N MOODY AVE
CHICAGO, IL 60646-6159
Phone number:
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