Tanner Maksymicz
Tanner Maksymicz is an Athletic Trainer in Macomb, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
1 University CirMacomb, IL 61455-1367
Phone: (765) 891-0503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 096004259 (IL) |
|---|
Record details
| NPI number | 1457807414 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 30, 2016 |
| Last updated in NPPES | August 30, 2016 |
| Mailing address | 700 Linden Ln, Macomb, IL 61455-1076 |
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Mr. Steven M Koch, ATC
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Michael Patrick Pendergast Sr., ATC
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