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1457373458
ROBERT WASSILAK
CHICAGO, IL
NPI
1457373458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-000452)
Enumeration Date
2006-07-25
Last Update Date
2016-04-18
Business Address
Mr. ROBERT WASSILAK ATC
1611 W HARRISON ST
CHICAGO, IL 60612-4861
Phone number: 312-432-2489
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Mailing Address
Mr. ROBERT WASSILAK ATC
1611 W HARRISON ST
CHICAGO, IL 60612-4861
Phone number: 312-432-2489
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