MRS. Shannon L Trunk - Brokop, PA-C

NPI #1497883037 in Bradley, Illinois

Provider Information

NPI Number: 1497883037
Entity Type: Individual
Name: MRS. Shannon L Trunk - Brokop, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 400 S KENNEDY DR
Address 2: STE 900
City: Bradley
State: Illinois
ZIP Code: 60915-2682
Phone: (815) 932-3132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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