Michael Patrick Pendergast SR., ATC

NPI #1275598161 in Macomb, Illinois

Provider Information

NPI Number
1275598161
Entity Type
Individual
Name
Michael Patrick Pendergast SR., ATC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Apr 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
WESTERN ILLINOS UNIVERSITY ATHLETIC DEPT.
Address 2
ONE UNIV. CIRCLE
City
Macomb
ZIP Code
61455
Phone
(309) 208-1253

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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