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Individual

MR. KEVIN PAUL WACHOWIAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT/ATC

Contact information

Practice address
926 VIEWPOINT DR, LAKE IN THE HILLS, IL 60156-4908
(630) 877-2419
Mailing address
926 VIEWPOINT DR, LAKE IN THE HILLS, IL 60156-4908
(630) 877-2419

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003657
IL

Other

Enumeration date
11/23/2014
Last updated
04/04/2025
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