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Richard Vicenzi, ATHLETIC TRAINER
NPI 1841447026 · on the registry since 2008
Practice
- Address
- 510 Lincoln Drive
Herrin, IL 62948 - Phone
- (618) 997-6800
- Fax
- (618) 998-9635
- Organisation at this address
- Southern Orthopedic Associates Sc
Southern Illinois Orthopedic Center,LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 49
Registry record
- Primary taxonomy
- 225500000X
225500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-19
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