Individual
MR. ALEX HATZIKOSTANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 362-2990
Mailing address
9242 MARMORA AVE, MORTON GROVE, IL 60053-1508
(224) 260-6020
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96002188
IL
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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