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Conner Mongoven

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

NPI number1669930848
StatusActive
Last updated in NPPESMar 7, 2019

Details

NPI
1669930848
Entity type
Individual (NPI-1)
Name
Conner Mongoven
Sex
Male
Sole proprietor
No
Enumeration date
Mar 7, 2019
Last updated
Mar 7, 2019

Taxonomy and licenses

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

Practice location

420 S Yale Ave
Arlington Heights, IL 60005-2238

Phone 847-660-0373

Mailing address

420 S Yale Ave
Arlington Heights, IL 60005-2238

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