NPI Lookup
NPPES Search
Providers by State
Blog
*Home
1114748928
SHANNON LYNN MOOSE
ST CHARLES, IL
NPI
1114748928
Copy
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 096004184)
Enumeration Date
2024-10-23
Last Update Date
2024-10-23
Business Address
SHANNON LYNN MOOSE ATC, ROT, LAT
255 RED GATE RD
ST CHARLES, IL 60175-6396
Phone number: 224-805-1199
Copy
Mailing Address
SHANNON LYNN MOOSE ATC, ROT, LAT
708 CHIPPEWA DR
NAPERVILLE, IL 60563-1387
Phone number: 224-805-1199
Copy
Similar providers in St Charles, IL
THERESE MARIE LABUZ
CHARLES EDWARD HARRIER
RICHARD MONIS
MICHELLE S. KRAMER
BRENT C HUFF