SHANNON DIANE WYATT (ATC) – Athletic Trainer, NPI 1992923585

SHANNON DIANE WYATT (ATC) is a healthcare provider. based in Oak park, Illinois. specializing in Athletic Trainer. They hold the professional credentials ATC. The NPI Number for SHANNON DIANE WYATT (ATC) is 1992923585

Main info

Female
Sole Proprietor
Name
SHANNON DIANE WYATT (ATC)
NPI
1992923585
Phone
(708) 386-2086
Address
1145 N HARLEM AVE
Enumeration Date
22 April 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for SHANNON DIANE WYATT (ATC)

  • 1145 N HARLEM AVE

    OAK PARK, IL 603021529

    Phone: (708) 386-2086

    Type: Location

  • 1418 W OLIVE AVE

    CHICAGO, IL 606604229

    Phone: (773) 805-2119

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60302)

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Frequently asked questions

What is the registry number for SHANNON DIANE WYATT (ATC)?
The registry entry for SHANNON DIANE WYATT (ATC) shows NPI 1992923585.
Is SHANNON DIANE WYATT (ATC)'s NPI status active today?
Active status means SHANNON DIANE WYATT (ATC)'s NPI record is not deactivated in the public file.
What does the directory say SHANNON DIANE WYATT (ATC) does?
Insurance directories may phrase it differently, but here SHANNON DIANE WYATT (ATC) maps to Athletic Trainer. Clinical services aligned with this taxonomy classification.
Is SHANNON DIANE WYATT (ATC) tied to Oak Park, Illinois?
If you are local to Oak Park, Illinois, SHANNON DIANE WYATT (ATC) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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