BRIAN MARTIN BUSANICH

CHICAGO, IL
NPI1760458863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-002165)
Enumeration Date2006-02-27
Last Update Date2007-07-08
Business Address
Mr. BRIAN MARTIN BUSANICH M.S., A.T.C.
1503 W NELSON ST #3R
CHICAGO, IL 60657-3116
Phone number: 773-220-0812
Mailing Address
Mr. BRIAN MARTIN BUSANICH M.S., A.T.C.
1503 W NELSON ST #3R
CHICAGO, IL 60657-3116
Phone number: 773-220-0812
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