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1396736369
ANTHONY JOHN MCCORMICK
OAK PARK, IL
NPI
1396736369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-000111)
Enumeration Date
2005-10-31
Last Update Date
2007-07-08
Business Address
Mr. ANTHONY JOHN MCCORMICK ATC
824 WISCONSIN AVE
OAK PARK, IL 60304-1044
Phone number: 708-848-9381
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Mailing Address
Mr. ANTHONY JOHN MCCORMICK ATC
824 WISCONSIN AVE
OAK PARK, IL 60304-1044
Phone number: 708-848-9381
Copy
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