Individual
MR. JONATHAN GARGUL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
401 S STATE ST, CHICAGO, IL 60605-1229
(847) 718-6707
Mailing address
401 S STATE ST, CHICAGO, IL 60605-1229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003921
IL
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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