Individual
DANIEL R HENRICHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
200 W GOLF RD, LIBERTYVILLE, IL 60048-3234
(847) 990-5779
Mailing address
738 HINMAN, UNIT 1E, EVANSTON, IL 60202
(847) 859-2484
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096001137
IL
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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