Individual
SHANA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, LAT
Contact information
Practice address
711 W NORTH AVE, SUITE 208, CHICAGO, IL 60610-1174
(312) 616-7778
(312) 276-4304
Mailing address
1442 HOMESTEAD RD, LA GRANGE PARK, IL 60526-1167
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002430
IL
Other
Enumeration date
07/16/2007
Last updated
02/17/2014
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