Individual
DAVID HUGH MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2121 ONEIDA ST, SUITE 202, JOLIET, IL 60435-6544
(815) 741-4390
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL #1449
FL
Other
Enumeration date
02/09/2007
Last updated
11/10/2010
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