Individual
MR. MICHAEL WARREN KLOBNAK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 CHURCH ST, LAKE ZURICH, IL 60047-1553
(847) 540-4797
Mailing address
2578 PORTAGE AVE, WAUCONDA, IL 60084-5031
(847) 526-3103
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96002160
IL
Other
Enumeration date
07/26/2006
Last updated
05/07/2008
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