Individual
MR. STEVEN MICHAEL BAGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, NASM-PES
Contact information
Practice address
10312 LONG AVE, OAK LAWN, IL 60453-4643
(708) 528-0759
Mailing address
10312 LONG AVE, OAK LAWN, IL 60453-4643
(708) 528-0759
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002660
IL
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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