DR. LYNETTE MAE CARLSON


Address: 635 Executive Dr, Willowbrook, IL 60527-5603
Phone: 6304556630

DR. LYNETTE MAE CARLSON (NPI# 1821063017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821063017
Entity Type Individual
Full Name DR. LYNETTE MAE CARLSON
Credential DHS, ATC
Practice Address 635 Executive Dr
Willowbrook
IL 60527-5603
Mailing Address 1131 Stringers Ridge Rd Apt 2k
Chattanooga
TN 37405-3238
Practice Telephone 6304556630
Practice Fax Number 6304556631
Mailing Telephone 6306742584
Enumeration Date 2006-02-21
Last Update Date 2017-08-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
528 TN Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
096.002040 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers LYNETTE CARLSON

NPI Name Taxonomy Address Enumeration
1871822320 Lynette Rene Carlson Speech-Language Pathologist 31 W College St, 174 Chester Park, Duluth, MN 55812-1106 2009-12-11
1700157609 Lynette J Carlson Counselor 325 E Pioneer Ave, Puyallup, WA 98372-3265 2012-01-24

Office Location

Street Address 635 EXECUTIVE DR
City WILLOWBROOK
State IL
Zip Code 60527-5603

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437315900 Bryan T Scheffers Physical Therapist 635 Executive Dr, Willowbrook, IL 60527-5603 2008-08-04
1225233091 Michael C Walter Specialist/Technologist 635 Executive Dr, Willowbrook, IL 60527-5603 2007-06-20
1053516088 Scott M Wirth Physical Therapist 635 Executive Dr, Willowbrook, IL 60527-5603 2007-06-19
1366534877 Amanda J Houk Physical Therapist 635 Executive Dr, Willowbrook, IL 60527-5603 2006-09-29
1942392469 Michelle L Quillin Physical Therapist 635 Executive Dr, Willowbrook, IL 60527-5603 2006-09-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023635364 Crystal Mary Dirks Occupational Therapy Assistant 211 75th St, Burr Ridge, IL 60527 2020-07-02
1386276350 Valerie Moreno-tucker Counselor 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 2020-02-07
1831734763 Annette Maria Zajac Occupational Therapist 16 91st St., Burr Ridge, IL 60527 2019-11-14
1568023109 Jennifer Rogers Counselor 277 83rd St., Ste. D, Burr Ridge, IL 60527 2019-06-25
1710458526 Dima Sibai Dds PC Clinic/Center 940 Plianfield Rd., Willowbrook, IL 60527 2018-12-06
1558850495 Jeanie C. Lucy PC Optometrist 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 2018-05-07
1538664032 Athletico,ltd Physical Therapist 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 2018-03-27
1003314832 Ams Wellness Pllc Psychologist 277 83rd St Ste D, Burr Ridge, IL 60527 2018-01-26
1023564671 Natasa Manasovska Dentist 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 2016-09-01
1669927893 Marie Ann Korallus Nurse Practitioner 7055 High Grove, Burr Ridge, IL 60527 2016-08-17
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770871808 Miriam K Boeing Specialist/Technologist 7191 S Kingery Hwy, Suite L6, Willowbrook, IL 60527-5525 2011-07-11
1093949950 Matthew Holton Specialist/Technologist 7191 S Kingery Hwy, Ste L6, Willowbrook, IL 60527-5525 2009-05-07
1225233091 Michael C Walter Specialist/Technologist 635 Executive Dr, Willowbrook, IL 60527-5603 2007-06-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538771076 Stacey Weathers-cannon Specialist/Technologist 650 Ingraham Ave, Calumet City, IL 60409-4236 2020-08-17
1104438621 Abril Malagon Specialist/Technologist 1 S Greenwood Ave, Palatine, IL 60074-6328 2020-08-17
1265050678 Megan Elsbree Specialist/Technologist 11819 Deacon Dr, Rockton, IL 61072-9411 2020-07-13
1013534437 Nicole Rose Mondelli Specialist/Technologist 958 Tallgrass Dr, Bartlett, IL 60103-5071 2020-07-01
1740806413 Megan Herter Specialist/Technologist 1513 Old Ivy Dr, Springfield, IL 62711-8156 2020-06-18
1164047239 Madison Stagman Specialist/Technologist 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 2020-06-14
1588286272 Sarah Wegrzyn Specialist/Technologist 3040 S Wabash Ave, Chicago, IL 60616-3474 2020-05-15
1336761386 Christine Louise Shebelski Specialist/Technologist 15203 Pulaski Rd, Midlothian, IL 60445-3755 2020-05-13
1386266633 Kathryn Riordan Specialist/Technologist 221 Triton Ln, Naperville, IL 60540-7926 2020-05-09
1487276747 Vianey Hernandez-ramirez Specialist/Technologist 4115 Howard St, Skokie, IL 60076-3749 2020-05-09
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Competitor

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City WILLOWBROOK
Zip Code 60527

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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