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

Individual provider Athletic Trainer · NPI 1093591919

Shane Mason Krummick, ATS is an Athletic Trainer in Wauconda, Illinois. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

990 Jessica Dr
Wauconda, IL 60084-1486
Phone: (847) 650-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1093591919
Entity typeIndividual (Type 1)
GenderMale
Credentials ATS
Sole proprietorNo
NPI enumeratedSeptember 6, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

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