Individual
MR. VINCENT JOHN DI RENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT,ATC,CSCS
Contact information
Practice address
1783 RICHMOND AVENUE, MCHENRY, IL 60050
(815) 385-0730
(815) 385-0572
Mailing address
13468 DELANEY RD, HUNTLEY, IL 60142-6334
(815) 354-5667
(815) 943-8008
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003644
IL
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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