Individual
MARCUS OHNEMUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
1501 W BRADLEY AVE, PEORIA, IL 61625-0001
(309) 677-3072
Mailing address
811 E GLEN AVE, PEORIA HEIGHTS, IL 61616-5205
(309) 256-3185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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