DANIEL R HENRICHS

LIBERTYVILLE, IL
NPI1205066610
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096001137)
Enumeration Date2009-07-20
Last Update Date2009-07-20
Business Address
-- DANIEL R HENRICHS ATC
200 W GOLF RD
LIBERTYVILLE, IL 60048-3234
Phone number: 847-990-5779
Mailing Address
-- DANIEL R HENRICHS ATC
738 HINMAN UNIT 1E
EVANSTON, IL 60202
Phone number: 847-859-2484