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1477540854
MICHAEL JOHN MCCORMICK
CHICAGO, IL
NPI
1477540854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096000041)
Enumeration Date
2005-09-30
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JOHN MCCORMICK atc
1323 W DIVERSEY PKWY
CHICAGO, IL 60614-1207
Phone number: 773-549-2520
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Mailing Address
Mr. MICHAEL JOHN MCCORMICK atc
460 BRADFORD CIR
ELK GROVE VILLAGE, IL 60007-3312
Phone number: 630-928-3400
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