MICAH JOSEPH HOLLAND

CHICAGO, IL
NPI1144590712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096002501)
Enumeration Date2012-01-12
Last Update Date2012-01-12
Business Address
Mr. MICAH JOSEPH HOLLAND MS, ATC, PES, CES
205 W WACKER DR SUITE 1020
CHICAGO, IL 60606-1216
Phone number: 312-640-0329
Mailing Address
Mr. MICAH JOSEPH HOLLAND MS, ATC, PES, CES
602 E SOPER ST
WINNEBAGO, IL 61088-9770
Phone number: 815-222-1339