Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD P VICENZI, ATHLETIC TRAINER
ActiveAthletic Trainer · HERRIN, IL
Registration Details
- NPI Number
- 1841447026
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2008 (17.674201577945 yrs)
- Last Updated
- Aug 19, 2008
- License
-
096000258 (IL)
Practice Information
- Address
-
510 LINCOLN DRIVEHERRIN, IL, 62948Browse IL providers · Browse ZIP 62948
- Phone
- 6189976800
- Fax
- 6189989635
- Primary Specialty
-
Athletic Trainer
225500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.