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Drew Wallace, ATC
NPI 1669878625 · on the registry since 2014
Practice
- Address
- 17823 Poplar Grove Rd
Poplar Grove, IL 61065 - Phone
- (815) 765-3311
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-18
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