Individual
COLIN J DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 S QUENTIN RD, PALATINE, IL 60067-7018
(847) 755-2790
Mailing address
1000 S QUENTIN RD, PALATINE, IL 60067-7018
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002883
IL
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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