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Individual

ANTHONY ZIMMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
205 W WACKER DR, CHICAGO, IL 60606-1216
(312) 640-0329
Mailing address
420 SAM DR APT F, SYCAMORE, IL 60178-9550
(815) 593-0966

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003860
IL

Other

Enumeration date
11/21/2014
Last updated
11/21/2014
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