Individual
NICHOLAS E GRAHOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1425 W LINCOLN HWY, DEKALB, IL 60115-2825
(815) 753-1400
Mailing address
1425 W LINCOLN HWY, DEKALB, IL 60115-2825
(815) 753-1400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002615
IL
2255A2300X
Athletic Trainer
AT6516
TX
Other
Enumeration date
10/11/2011
Last updated
02/25/2022
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