Michael Warren Klobnak Jr., atc
Specialist/Technologist, Athletic Trainer in Lake Zurich, IL. Individual provider (NPI-1).
NPI number1467476366
StatusActive
Last updated in NPPESMay 7, 2008
Details
- NPI
- 1467476366
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Warren Klobnak Jr.
- Credential
- atc
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2006
- Last updated
- May 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 96002160 | IL | Yes |
Practice location
300 Church StLake Zurich, IL 60047-1553
Phone 847-540-4797
Mailing address
2578 Portage AveWauconda, IL 60084-5031
Phone 847-526-3103
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