JERRY MARK BORNHOFF

PARK RIDGE, IL
NPI1578552782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-000908)
Enumeration Date2005-10-19
Last Update Date2007-07-08
Business Address
Mr. JERRY MARK BORNHOFF ATC, LAT, CSCS
1111 S DEE RD
PARK RIDGE, IL 60068-4379
Phone number: 847-692-8246
Mailing Address
Mr. JERRY MARK BORNHOFF ATC, LAT, CSCS
147 S CRANBERRY ST
BOLINGBROOK, IL 60490-2094
Phone number:
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