Individual
MR. ANTOIN DESHAUN SHINAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 W WACKER DR STE 1020, CHICAGO, IL 60606-1452
(312) 640-0329
(312) 640-0407
Mailing address
5381 BURR OAK RD, LISLE, IL 60532-2107
(773) 543-1752
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003501
IL
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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