Alexander Kichakov, LAT

NPI #1659576247 in Winfield, Illinois

Provider Information

NPI Number
1659576247
Entity Type
Individual
Name
Alexander Kichakov, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT
Enumeration Date
Jun 15, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
0 S 050 WINFIELD ROAD
Address 2
SUITE 120
ZIP Code
60190
Phone
(630) 653-4743

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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