MEDICARE: MRS. CORRYN A BROOKS ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	36002662A	IN

General Provider Information

NPI Number	:	1053864496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CORRYN A BROOKS ATC

Provider Business Mailing Address
First Line	:	43 LAKE METONGA TRL
Second Line	:
City	:	GRANT PARK
State	:	IL
Zip	:	60940-9778
Country	:	US
Telephone Number	:	815-508-3053
Fax Number	:

Provider Business Practice Location Address
First Line	:	43 LAKE METONGA TRL
Second Line	:
City	:	GRANT PARK
State	:	IL
Zip	:	60940-9778
Country	:	US
Telephone Number	:	815-508-3053
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2016
Last Update Date	:	12/02/2019

Similar Medicare Providers

1437278785 — ALLISON VANZANT FP
Practice Location Address:

20702 W GRANT MINE RD
WITTMANN, AZ
85361-9778

Practice Phone: 623-810-0725
Practice Fax:

1710334883 — EMILY LYNN NELSON
Practice Location Address:

116 PARK PLACE DR
SINKING SPRING, PA
19608-9778

Practice Phone: 610-406-1749
Practice Fax:

1003849472 — GRANT PARK FIRE PROTECTION DISTRICT
Practice Location Address:

107 W CURTIS ST , BOX 538
GRANT PARK, IL
60940-7135

Practice Phone: 815-465-6123
Practice Fax: 815-465-6537

1336351428 — GRANT PARK SCHOOL DISTRICT #6
Practice Location Address:

421 ESSON FARM RD , POB 549
GRANT PARK, IL
60940-7262

Practice Phone: 815-465-6013
Practice Fax: 815-465-2505

1538347695 — GRANT PARK COMMUNITY UNIT DISTRICT 6
Practice Location Address:

421 ESSON FARM RD
GRANT PARK, IL
60940-7262

Practice Phone: 815-465-6013
Practice Fax: 815-465-2505

1881977668 — DANA DICKSON RPH
Practice Location Address:

112 N HAMILTON DR , BOX 5
GRANT PARK, IL
60940-7257

Practice Phone: 815-937-0528
Practice Fax:

Directions to “ MRS. CORRYN A BROOKS ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.