Individual
MICHAEL GENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C
Contact information
Practice address
2401 RAVINE WAY, GLENVIEW, IL 60025-7645
(847) 998-5680
Mailing address
5755 N MOODY AVE, CHICAGO, IL 60646-6159
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003954
IL
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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