Individual
MR. MICHAEL JOHN MCCORMICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1323 W DIVERSEY PKWY, CHICAGO, IL 60614-1207
(773) 549-2520
(773) 549-2743
Mailing address
460 BRADFORD CIR, ELK GROVE VILLAGE, IL 60007-3312
(630) 928-3400
(773) 549-2743
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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