MICHAEL C WALTER

WILLOWBROOK, IL
NPI1225233091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096002432)
Enumeration Date2007-06-20
Last Update Date2007-07-08
Business Address
-- MICHAEL C WALTER LAT
635 EXECUTIVE DR
WILLOWBROOK, IL 60527-5603
Phone number: 630-455-6630
Mailing Address
-- MICHAEL C WALTER LAT
104 EISENHOWER DR CR2
BLOOMINGTON, IL 61701-2060
Phone number:
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