Individual
MR. JOHN S PICKERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATHLETIC TRAINER
Contact information
Practice address
309 N ABBEY RD, URBANA, IL 61802-2269
(217) 337-4951
Mailing address
309 N ABBEY RD, URBANA, IL 61802-2269
(217) 337-4951
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.000011
IL
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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