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Individual

MR. DENNY WONGOSARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LAT, ATC

Contact information

Practice address
2065 HALF DAY RD, DEERFIELD, IL 60015-1241
(847) 317-7116
Mailing address
2065 HALF DAY RD, DEERFIELD, IL 60015-1241
(847) 317-7116

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002131A
IN

Other

Enumeration date
08/26/2013
Last updated
07/18/2015
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