Individual
MR. BUCKEY LYN WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1717 17TH ST, NORTH CHICAGO, IL 60064-2052
(847) 578-7400
Mailing address
795 N MCKINLEY RD, LAKE FOREST, IL 60045-1836
(847) 370-0624
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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