Individual
MR. JAMES JOHN ALLIVATO JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
635 EXECUTIVE DR, WILLOW BROOK, IL 60527-5603
(630) 455-6630
Mailing address
1936 W GRACE ST, CHICAGO, IL 60613-2726
(312) 316-5910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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