KEVIN WACHOWIAK

CAROL STREAM, IL
NPI1437556222
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003657)
Enumeration Date2014-11-23
Last Update Date2014-11-23
Business Address
Mr. KEVIN WACHOWIAK LAT/ATC
390 N SILVERLEAF BLVD
CAROL STREAM, IL 60188-1602
Phone number: 630-877-2419
Mailing Address
Mr. KEVIN WACHOWIAK LAT/ATC
390 N SILVERLEAF BLVD
CAROL STREAM, IL 60188-1602
Phone number: 630-877-2419