Individual
CONNOR PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
12337 S ROUTE 59 UNIT 119, PLAINFIELD, IL 60585-4626
(815) 267-6263
Mailing address
2580 BIG BLUESTEM RD, MORRIS, IL 60450-7633
(779) 939-7006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004489
IL
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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