Shannon Diane Wyatt in Chicago - Athletic Trainer
Shannon Diane Wyatt - NPI 1992923585
Shannon Diane Wyatt is a Athletic Trainer in Chicago, Illinois. Shannon Diane Wyatt practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Shannon Diane Wyatt is 1992923585. The last update date is 2007-07-08.
Shannon Diane Wyatt's current location address is 1418 W Olive Ave, Chicago, Illinois. You can contact this provider via phone number 7738052119. The mailing address for Shannon Diane Wyatt is 1418 W Olive Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Diane Wyatt |
|---|---|
| Address | 1418 W Olive Ave, Chicago, Illinois |
| Phone Number | 7738052119 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1992923585 |
|---|---|
| Provider Enumeration Date | 2007-04-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1418 W Olive Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606604229 |
| Phone Number | 7738052119 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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Post Comment/ Review Below
What is the unique identification code assigned to Shannon Diane Wyatt by the Centers for Medicare & Medicaid Services?
The Shannon Diane Wyatt has been issued the NPI (National Provider Identifier) 1992923585. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shannon Diane Wyatt?
The Shannon Diane Wyatt is situated at 1418 W Olive Ave, in the city of Chicago, state of IL, with the zip code 606604229.
What is the Shannon Diane Wyatt's specialty and taxonomy code?
The Shannon Diane Wyatt's specialty is Athletic Trainer, and the corresponding taxonomy code is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992923585 to Shannon Diane Wyatt?
The Centers for Medicare & Medicaid Services originally issued the 1992923585 to Shannon Diane Wyatt on 2007-04-22.
When was the information regarding Shannon Diane Wyatt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shannon Diane Wyatt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.