MR. Denny Wongosari, MS, LAT, ATC

NPI #1649604737 in Deerfield, Illinois

Provider Information

NPI Number
1649604737
Entity Type
Individual
Name
MR. Denny Wongosari, MS, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS, LAT, ATC
Enumeration Date
Aug 26, 2013
Last Updated
Jul 18, 2015

Practice Location

Address
2065 HALF DAY RD
ZIP Code
60015-1241
Phone
(847) 317-7116

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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