Individual
MR. GARRETT LEONARD QUAIL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4555 211TH ST, MATTESON, IL 60443-2318
(708) 283-0021
(708) 283-0831
Mailing address
3605 HARVEY AVE, BERWYN, IL 60402-3832
(708) 917-4067
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002378
IL
Other
Enumeration date
10/30/2007
Last updated
05/10/2010
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