Individual
JOHN BADAGLIACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2255 CAMPUS DRIVE, EVANSTON, IL 60208-1050
(847) 491-5820
Mailing address
1040 GREENTREE AVE, DEERFIELD, IL 60015-2925
(715) 699-0970
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000012256
BOC CERTIFICATION
—
Enumeration date
11/08/2019
Last updated
04/17/2025
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