Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LYNETTE MAE CARLSON, DHS, ATC
Active Sole ProprietorDR. LYNETTE MAE CARLSON, DHS, ATC is a Athletic Trainer healthcare provider located in WILLOWBROOK, Illinois. NPI 1821063017 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WILLOWBROOK, IL
Registration Details
- NPI Number
- 1821063017
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2006 (20.441552830366 yrs)
- Last Updated
- Aug 29, 2017
- Licenses
-
096.002040 (IL)528 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
635 EXECUTIVE DRWILLOWBROOK, IL, 605275603Browse IL providers · Browse ZIP 60527
- Phone
- 6304556630
- Fax
- 6304556631
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in WILLOWBROOK, IL
| Name | Credential | NPI |
|---|---|---|
| MICHAEL C WALTER | LAT | 1225233091 |
| MATTHEW HOLTON | ATC | 1093949950 |
| MIRIAM K BOEING | ATC | 1770871808 |
| DR. BENJAMIN COLLETTI | DAT, LAT, ATC | 1740720572 |
| CONCEPCION PEREZ | — | 1417599879 |
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.