Individual
SHELBY STITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9901 S KEDZIE AVE, EVERGREEN PARK, IL 60805-3416
(847) 530-4699
Mailing address
1041 W 108TH PL, CHICAGO, IL 60643-3724
(847) 530-4699
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000040892
IL
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/17/2019
Last updated
04/13/2025
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