SHANE M LISTON

ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE LLC

Dr SHANE M LISTON is a male medical professional, specializing in Occupational Therapy. He graduated in 2017.

Contact

ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE LLC

3011 N CLARK ST
CHICAGO
IL
606575205

Tel: 7736610240

SHANE M LISTON Information

Npi 1215422837
Pac Id 4082961396
Professional Enrollment Id I20180718001002
Last Name LISTON
First Name SHANE
Middle Name M
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty OCCUPATIONAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE LLC
Group Practice Pac Id 8325014020
Number Of Group Practice Members 308
Line 1 Street Address 3011 N CLARK ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CHICAGO
State IL
Zip Code 606575205
Phone Number 7736610240
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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