JACOB GARVER

FRANKFORT, IL
NPI1730506106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246Z00000X Specialist/Technologist, Other
(Licence: IL  003962)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  002488)
Enumeration Date2014-03-24
Last Update Date2015-06-18
Business Address
Mr. JACOB GARVER ATC
39 W. BANKVIEW DR.
FRANKFORT, IL 60423
Phone number: 815-464-7113
Mailing Address
Mr. JACOB GARVER ATC
910 W 19TH PL BSMT
CHICAGO, IL 60608-3426
Phone number: