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Individual

MR. ANTHONY GAROFALO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
111 LIONS DR, STE 212, BARRINGTON, IL 60010-3182
(847) 381-0372
(847) 381-4529
Mailing address
2902 EXETER CT, WEST DUNDEE, IL 60118-1724
(847) 528-2841

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
096-000023
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
096-000023
ATHLETIC TRAINER
IL
Enumeration date
03/07/2006
Last updated
12/12/2014
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