Lynette Mae Carlson, DHS, ATC

Athletic Trainer · Willowbrook, IL

Individual Active NPI

NPI number 1821063017

Practice location

635 Executive Dr
Willowbrook, IL 60527-5603
Phone
(630) 455-6630
Fax
(630) 455-6631

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NPI record

NPI
1821063017
Entity type
Individual (Type 1)
Enumeration date
February 21, 2006
Last updated
August 29, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 528 TN
Athletic Trainer 2255A2300X 096.002040 IL

Mailing address

1131 Stringers Ridge Rd Apt 2k
Chattanooga, TN 37405-3238
Phone
(630) 674-2584

About Lynette Carlson

Lynette Mae Carlson, DHS, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 635 Executive Dr, Willowbrook, IL 60527-5603. The NPI number 1821063017 was assigned on February 21, 2006 and the record was last updated on August 29, 2017.

Lynette Carlson lists 2 licenses in the registry: #528 (TN) for Athletic Trainer; #096.002040 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lynette Mae Carlson, DHS, ATC?

The NPI number is 1821063017.

What is the phone number of Lynette Carlson?

The phone number listed for the practice location is (630) 455-6630.

Where is Lynette Carlson located?

635 Executive Dr, Willowbrook, IL 60527-5603.

What is the taxonomy code for Lynette Carlson?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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