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

Michael Shane Pampuch

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063156586

Michael Shane Pampuch is a Student in an Organized Health Care Education/Training Program in Diamond, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2250 E Stellon St
Diamond, IL 60416-9749
Phone: (815) 662-7701
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063156586
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2022
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022

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