MR. David Fowkes, ATC, MS, FF/PM
NPI #1043289143 in Highland Park, Illinois
Provider Information
- NPI Number
- 1043289143
- Entity Type
- Individual
- Name
- MR. David Fowkes, ATC, MS, FF/PM
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, MS, FF/PM
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 433 VINE AVE
- City
- Highland Park
- State
- Illinois
- ZIP Code
- 60035-2044
- Phone
- (224) 765-2094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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