MICHAEL PENDERGAST SR., ATC

Specialist/Technologist - Athletic Trainer

Active Individual

NPI: 1275598161

Practice Address

WESTERN ILLINOS UNIVERSITY ATHLETIC DEPT.
ONE UNIV. CIRCLE
Macomb, IL 61455

Specialties

Specialty	Code	Primary	License
Specialist/Technologist - Athletic Trainer	2255A2300X	Yes	-

Frequently Asked Questions

NPI 1275598161 is the National Provider Identifier for MICHAEL PENDERGAST SR., ATC, a Specialist/Technologist - Athletic Trainer provider located in Macomb, IL. This NPI was enumerated on April 20, 2006.

MICHAEL PENDERGAST SR., ATC practices at WESTERN ILLINOS UNIVERSITY ATHLETIC DEPT., ONE UNIV. CIRCLE, Macomb, IL 61455.

Quick Facts

NPI: 1275598161
Type: Individual
Enumerated: Apr 20, 2006
Last Updated: Jul 8, 2007

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