Individual
MARK PULLARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
920 ESSINGTON RD, JOLIET, IL 60435-2859
(815) 744-4770
Mailing address
1313 BASSETT DR, JOLIET, IL 60431-5366
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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