Individual
MR. MATTHEW A MARZULLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
832 E WILSON AVE, LOMBARD, IL 60148-4047
(630) 784-7010
(630) 268-9639
Mailing address
832 E WILSON AVE, LOMBARD, IL 60148-4047
(630) 784-7010
(630) 268-9639
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-00359
IL
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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