Antonio Macaraeg

NPI #1699144121 in Hanover Park, Illinois

Provider Information

NPI Number: 1699144121
Entity Type: Individual
Name: Antonio Macaraeg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 15, 2015
Last Updated: Sep 15, 2015

Practice Location

Address: 1200 YORKSHIRE DR
City: Hanover Park
State: Illinois
ZIP Code: 60133-2521
Phone: (224) 622-6412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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