JASON BANNACK

OAK BROOK, IL
NPI1598748329
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096001415)
Enumeration Date2005-11-25
Last Update Date2007-07-08
Business Address
Mr. JASON BANNACK ATC
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-6211
Mailing Address
Mr. JASON BANNACK ATC
2522 HARTFIELD DR
MONTGOMERY, IL 60538-4046
Phone number:
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