Individual
MR. JEFF MICHAEL KIMAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
15400 127TH ST, LEMONT, IL 60439-8408
(630) 257-9787
Mailing address
1071 JENNIFER LN, BOLINGBROOK, IL 60440-1672
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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