Most Relevant Information
Provider Data
| NPI Number: | 1003025941 |
| Provider Name: | KERRI LANUM ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 96001202 |
Most Important Dates
| Enumeration Date: | 05/21/2007 |
| Last Updated: | 11/04/2020 |
Provider Practice Location
850 BROOKFOREST AVE. F
SHOREWOOD
IL
60404
Practice Location Phone/Fax
| Phone: | 8157259229 |
| Fax: |
Provider Mailing Location
527 N. MADISON AVE.
BRADLEY
IL
60915
Provider Mailing Phone/Fax
| Phone: | 8156901176 |
| Fax: |