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Search › Illinois › Student in an Organized Health Care Education/Training Program

Shane Caudill

NPI 1073900650 · on the registry since 2015 · sole proprietor

Practice

Address
2600 W Main St
Belleville, IL 62226
Phone
(618) 239-6109
Organisation at this address
Lindenwood University-Belleville
Belleville Township High School District 201
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Athletic Trainer
Sex
Male
Record last updated
2015-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois