Individual
RYAN MARGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
1 UNIVERSITY PLZ, SPRINGFIELD, IL 62703-5404
(217) 836-5800
Mailing address
4521 ASH GROVE DR APT B1, SPRINGFIELD, IL 62711-6538
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.005604
IL
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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