Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooklyn Gunderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477193035

Brooklyn Gunderson is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1501 W Bradley Ave
Peoria, IL 61625-3219
Phone: (715) 507-0439
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096.005574 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477193035
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2020
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing address5815 N Aspen Wood Dr Apt 5203, Peoria, IL 61615-8429

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