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Individual

ERIC BUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
2534 E LINCOLN HWY, NEW LENOX, IL 60451-9712
(815) 462-9420
(815) 462-9421
Mailing address
554 EASTON LN APT 105, ROMEOVILLE, IL 60446-4861
(815) 388-2229

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002549
IL

Other

Enumeration date
10/25/2012
Last updated
10/25/2012
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