Christine Louise Shebelski, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.003992 Issued in IL

Practice address

15203 Pulaski Rd
Midlothian, IL 60445-3755

Phone

(708) 371-3600

Fax

(708) 371-5890

NPI assigned

May 13, 2020

Last updated

May 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1336761386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15203 PULASKI RD",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604453755",
            "telephone_number": "708-371-3600",
            "fax_number": "708-371-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15203 PULASKI RD",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604453755",
            "telephone_number": "708-371-3600",
            "fax_number": "708-371-5890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17837 80th Ave",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604775023",
            "country_code": "US",
            "telephone_number": "708-342-5200",
            "fax_number": "708-342-1454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEBELSKI",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.003992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Annalou Rush, CERTIFIED NURSE ASST
• Yazan Samer Salah
• Joanna Samara, PHARMD
• Kaylie Paige Sears
• Elizabeth Seebock, CCC-SLP
• Tiffany Shelton
• Thenmathi Sivarajan, MD
• Barbara Sopin
• Candace Stadtler, BCBA
• Susan L. Suria, PT

• Athletic Trainer in Midlothian, IL
• Providers in Midlothian, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.