Individual
COLLIN JAMES SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N UNIVERSITY ST, NORMAL, IL 61761-4402
(309) 438-2111
Mailing address
2842 SHEPARD RD, NORMAL, IL 61761-6420
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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