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NPI Code Detail

MEDICARE: SHANNON TOMLINSON

MEDICARE: SHANNON TOMLINSON
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
1225100000XPhysical TherapistIL

General Provider Information

NPI Number : 1205766458
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON TOMLINSON
Provider Business Mailing Address
First Line : 2811 POWELL DR
Second Line :
City : BLOOMINGTON
State : IL
Zip : 61704-4698
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 719 N MARION ST
Second Line :
City : OAK PARK
State : IL
Zip : 60302-1530
Country : US
Telephone Number : 844-478-6878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ SHANNON TOMLINSON ” Practice Location

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