Individual
MR. MICHAEL EDWARD GILBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
555 N SHERIDAN RD, LAKE FOREST COLLEGE-ATHLETIC DEPARTMENT, LAKE FOREST, IL 60045-2338
(847) 735-5296
Mailing address
39285 N MEADOW LN, WADSWORTH, IL 60083-9664
(847) 336-7488
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096001085
IL
Other
Enumeration date
03/10/2006
Last updated
03/13/2013
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