Mark Mammen
Mark Mammen is an Athletic Trainer in Champaign, Illinois. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1806 N Market StChampaign, IL 61822-1312
Phone: (217) 356-4920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1558800250 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 15, 2017 |
| Last updated in NPPES | February 15, 2017 |
| Mailing address | 790 Remington Blvd, Bolingbrook, IL 60440-4909 |
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