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Graziella Gentile, ATC

Specialist/Technologist, Athletic Trainer in Dekalb, IL. Individual provider (NPI-1).

NPI number1649301045
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1649301045
Entity type
Individual (NPI-1)
Name
Graziella Gentile
Credential
ATC
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

1530 Grand Dr Unit 4
Dekalb, IL 60115-1093

Phone 708-560-5006

Mailing address

1530 Grand Dr Unit 4
Dekalb, IL 60115-1093

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