Individual
KERRI LANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
850 BROOKFOREST AVE. F, SHOREWOOD, IL 60404
(815) 725-9229
Mailing address
527 N. MADISON AVE., BRADLEY, IL 60915
(815) 690-1176
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96001202
IL
Other
Enumeration date
05/21/2007
Last updated
11/04/2020
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