Individual
MR. MARC ROY GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
12052 S CICERO AVE, ALSIP, IL 60803-2313
(708) 489-9940
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96001909
IL
Other
Enumeration date
07/19/2006
Last updated
08/02/2010
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