Individual
MR. STEPHEN PAUL MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
701 W THOMAS RD, WHEATON, IL 60187-3141
(630) 784-7388
Mailing address
1339 SANDCHERRY LN, WEST CHICAGO, IL 60185-5973
(630) 247-8351
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096000120
IL
Other
Enumeration date
09/01/2013
Last updated
09/01/2013
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