Individual
MR. GIACCHINO JAMES LECH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
609 S JADE LN, ROUND LAKE, IL 60073
(309) 706-1935
Mailing address
609 S JADE LN, ROUND LAKE, IL 60073-8164
(309) 706-1935
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002544
IL
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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