NPI 1124487517

Michael Genova, ATC

Practitioner Athletic Trainer Glenview, IL

Practice location

Address: 2401 Ravine Way, Glenview, IL 60025-7645
Phone: (847) 998-5680
Mailing address: 5755 N Moody Ave, Chicago, IL 60646-6159

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096003954 (IL)

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1124487517
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2016
Record last updated: 15 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.