Individual
WOJCIECH BUZUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8140 N OCTAVIA AVE, NILES, IL 60714-2931
(847) 710-7643
Mailing address
8140 N OCTAVIA AVE, NILES, IL 60714-2931
(847) 710-7643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003002
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
ATHLETIC TRAINER
IL
Enumeration date
11/20/2014
Last updated
11/20/2014
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