MR. JASON BANNACK, ATC

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1598748329

Practice Address

625 ENTERPRISE DR
Oak Brook, IL 60523

Phone: (630) 575-6211

Specialties

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

Frequently Asked Questions

NPI 1598748329 is the National Provider Identifier for MR. JASON BANNACK, ATC, a Specialist/Technologist - Athletic Trainer provider located in Oak Brook, IL. This NPI was enumerated on November 25, 2005.
MR. JASON BANNACK, ATC practices at 625 ENTERPRISE DR, Oak Brook, IL 60523.

Quick Facts

NPI
1598748329
Type
Individual
Enumerated
Nov 25, 2005
Last Updated
Jul 8, 2007

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