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Contact Information

VINCENT J DI RENZO, MAT,ATC,CSCS
1783 RICHMOND AVENUE
MCHENRY, IL60050
 Phone: 815-385-0730
 Fax: 815-385-0572
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for VINCENT J DI RENZO · (Male)

NPI # 1578993424
Status Active
Credentials MAT,ATC,CSCS
Entity Individual
Enumeration date 11/13/2013
Last updated 11/13/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 096.003644
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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