Individual
PAUL PLACZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4555 LINCOLN HWY, MATTESON, IL 60443-2318
(708) 283-0021
(708) 283-0831
Mailing address
4555 LINCOLN HWY, MATTESON, IL 60443-2318
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002845
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096.002845
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
03/03/2015
Last updated
03/03/2015
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