Shay Brown
Individual provider Active NPI Athletic Trainer · Oswego, IL
NPI 1992584874 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1992584874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1525 Harvey Rd
Oswego, IL 60543-8290 - Phone
- (630) 646-2341
- NPI assigned
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
1525 Harvey Rd
Oswego, IL 60543-8290
Mailing address
1525 Harvey Rd
Oswego, IL 60543-8290
Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.