Individual
MICHAEL WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
913 PENNY LN, SYCAMORE, IL 60178-1250
(219) 218-2095
Mailing address
913 PENNY LN, SYCAMORE, IL 60178-1250
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003863
IL
Other
Enumeration date
09/15/2014
Last updated
11/18/2014
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