Individual
MR. MICHAEL R HUXFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, MED, ATC, CSCS
Contact information
Practice address
2300 N CHILDRENS PLZ, BOX 69, CHICAGO, IL 60614-3363
(773) 327-0989
(773) 327-1166
Mailing address
29W740 WAVERLY AVE, WARRENVILLE, IL 60555-1275
(630) 926-8641
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-001231
IL
Other
Enumeration date
02/14/2006
Last updated
12/29/2011
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