Search › Illinois › 2255A2300X
Brett Penning, MS, ATC
NPI 1588081491 · on the registry since 2014 · sole proprietor
Practice
- Address
- 614 W Polk Ave
Apt 2
Charleston, IL 61920 - Phone
- (217) 317-1984
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-28
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