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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROOKLYN GUNDERSON

Active Sole Proprietor

BROOKLYN GUNDERSON is a Athletic Trainer healthcare provider located in PEORIA, Illinois. NPI 1477193035 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PEORIA, IL

Registration Details

NPI Number
1477193035
Provider Type
Individual
Gender
Female
NPI Issued
Jan 13, 2020 (6.4010352401592 yrs)
Last Updated
Feb 21, 2024
License
096.005574 (IL)
Sole Proprietor
Yes

Practice Information

Address
1501 W BRADLEY AVE
PEORIA, IL, 616253219
Browse IL providers · Browse ZIP 61625
Phone
7155070439
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in PEORIA, IL

Name Credential NPI
MR. ERIC T REDMAN ATC 1013982487
MRS. MEGAN STEVENART MS, ATC 1629045067
MR. GREGORY DENNIS EBERLE ATC 1083682470
MARCUS OHNEMUS A.T.C. 1215990189
KYLE DAVID GEIRNAEIRT ATC 1316080310
KELLY A WINTERS ATC 1134262116
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.