Individual
MR. ZACHARY STEVEN FIENHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 UNIVERSITY AVE, BOURBONNAIS, IL 60914-2345
(815) 419-7274
Mailing address
322 E CEMETERY AVE, CHENOA, IL 61726-1355
(815) 419-7274
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
10/25/2015
Last updated
10/25/2015
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