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1508364597
TIMOTHY HANNA
CHICAGO, IL
NPI
1508364597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096003376)
Enumeration Date
2018-01-25
Last Update Date
2018-01-25
Business Address
TIMOTHY HANNA ATC
150 N MICHIGAN AVE STE 1400
CHICAGO, IL 60601-7568
Phone number: 312-444-1145
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Mailing Address
TIMOTHY HANNA ATC
2309 ARQUILLA DR
DOWNERS GROVE, IL 60515-4255
Phone number: 317-979-4231
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