Wyatt, Shannon Diane
Wyatt, Shannon Diane is an sole proprietor health care provider with primary practice located at 1145 N Harlem Ave , Oak Park IL 60302-1529. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Wyatt, Shannon Diane can be contacted via phone (708) 386-2086.Contact Information
Primary practice address
1145 N Harlem Ave
Oak Park IL 60302-1529
Phone: (708) 386-2086
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Illinois |
Profile Details
| NPI number | 1992923585 |
|---|---|
| LBN Legal business name | Wyatt, Shannon Diane |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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