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1942200266
JAMES JOHN ALLIVATO
WILLOW BROOK, IL
NPI
1942200266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-000502)
Enumeration Date
2005-07-28
Last Update Date
2007-07-08
Business Address
Mr. JAMES JOHN ALLIVATO LAT, ATC
635 EXECUTIVE DR
WILLOW BROOK, IL 60527-5603
Phone number: 630-455-6630
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Mailing Address
Mr. JAMES JOHN ALLIVATO LAT, ATC
1936 W GRACE ST
CHICAGO, IL 60613-2726
Phone number: 312-316-5910
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