Provider Demographics
NPI:1619946274
Name:STEENWYK, SHARI LYNAE (MS, ATC, CSCS)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:LYNAE
Last Name:STEENWYK
Suffix:
Gender:F
Credentials:MS, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 DESPLAINES ST
Mailing Address - Street 2:
Mailing Address - City:BLUE ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60406-2910
Mailing Address - Country:US
Mailing Address - Phone:708-388-9129
Mailing Address - Fax:708-396-7460
Practice Address - Street 1:6601 W COLLEGE DR
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1768
Practice Address - Country:US
Practice Address - Phone:708-293-4920
Practice Address - Fax:708-396-7460
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer