Individual
MR. MARK EDWARD ONEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1060 W ADDISON ST, CHICAGO, IL 60613-4397
(773) 404-4221
Mailing address
1060 W ADDISON ST, CHICAGO, IL 60613-4397
(773) 404-4221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
060400
IL
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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