SearchIllinois2255A2300X

Robert Mcnulty, LAT, ATC

NPI 1477926343 · on the registry since 2015 · sole proprietor

Practice

Address
1313 Crane Blvd
Libertyville, IL 60048
Phone
(847) 421-4282

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
390200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois