Drew Michael Wallace, ATC
Drew Michael Wallace, ATC is an Athletic Trainer in Poplar Grove, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
What do these letters mean?
- ATC — Certified Athletic Trainer
- Prevents and treats sport and activity injuries.
Practice location Address checks out
17823 Poplar Grove RdPoplar Grove, IL 61065-9014
Phone: (815) 765-3311
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 200014924 (IL) |
|---|
Record details
| NPI number | 1669878625 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ATC |
| Sole proprietor | No |
| NPI enumerated | November 18, 2014 |
| Last updated in NPPES | November 18, 2014 |
| Mailing address | 5061 Linden Rd, 5303, Rockford, IL 61109-5834 |
Other providers in Poplar Grove
-
Jessica Ballard, MS, ATC
17823 Poplar Grove Rd, Poplar Grove, IL 61065-9014 · (815) 765-3311
-
Joseph M Rocuskie, ATC
105 Galahad Ct SE, Poplar Grove, IL 61065-9094 · (815) 451-7484