Shane M Liston (NPI# 1215422837, PAC ID# 4082961396) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1215422837 |
| PAC ID by PECOS | 4082961396 |
| Professional Enrollment ID | I20180718001002 |
| Full Name | Shane M Liston |
| Organization Legal Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE LLC |
| Address |
3011 N Clark St Chicago IL 60657-5205 |
| Phone Number | 7736610240 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 8325014020 |
| Number of Group Practice Members | 303 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3011 N Clark St, Chicago, IL 60657-5205 | 7736610240 | ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE LLC |
| Organization Legal Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE LLC |
| Physicians | 313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan D Yerkes | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 15850 Cicero Ave, Oak Forest, IL 60452-3654 |
| Grace Elizabeth Lechner | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 951 W Touhy Ave, Park Ridge, IL 60068-3230 |
| Alexis Funk | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 300 Ridge Rd, Munster, IN 46321-1528 |
| Meagan Kathleen Ipema | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 8455 Broadway, Merrillville, IN 46410-6220 |
| Rolanda Pruitt | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 11450 Broadway, Crown Point, IN 46307-7106 |
| Kaitlyn Walsh | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 4620 N Clark St, Chicago, IL 60640-4620 |
| Megan Schroeder | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 5226 N Northwest Hwy, Chicago, IL 60630-4620 |
| Casey Coleman | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 426 E 162nd St, South Holland, IL 60473-2258 |
| Jasmine Jaramillo | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 18 W431 Roosevelt Rd, Lombard, IL 60148-4142 |
| Derek Peake | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 9645 S Western Ave, Chicago, IL 60643-1722 |
| Street Address |
3011 N CLARK ST |
| City | CHICAGO |
| State | IL |
| Zip | 60657-5205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey L Frederick | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Stephanie L Lyons | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Alaina R Bandstra | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Dominic M Maino | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Thomas Cohen | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Michael J Dubick | Chiropractic | 3250 N Lincoln Ave, Suite 1, Chicago, IL 60657-1192 | |
| Eric T Niwinski | Physical Therapy | Ipt Management Services, Inc | 3420 N Lincoln Ave, Chicago, IL 60657-1195 |
| Shannan M Vanantwerp | Physical Therapy | Ipt Management Services, Inc | 3420 N Lincoln Ave, Chicago, IL 60657-1195 |
| Lauren E Buck | Physical Therapy | Ipt Management Services, Inc | 3420 N Lincoln Ave, Chicago, IL 60657-1195 |
| James Hayes | Clinical Social Worker | 3409 N Paulina St, Chicago, IL 60657-1220 | |
| Find all physicians in zip 60657 | |||
| City | CHICAGO |
| Zip Code | 60657 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | CHICAGO + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Shane M Liston.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.