ROBERT E LACEY

OAK LAWN, IL
NPI1700056926
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.001104)
Enumeration Date2008-03-04
Last Update Date2008-03-04
Business Address
Mr. ROBERT E LACEY ATC
9634 S PULASKI RD
OAK LAWN, IL 60453-3391
Phone number: 708-423-4800
Mailing Address
Mr. ROBERT E LACEY ATC
10933 S CENTRAL PARK AVE
CHICAGO, IL 60655-3304
Phone number: 773-779-5414
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