Robert Lynall, ATC
Specialist/Technologist, Athletic Trainer in Normal, IL. Individual provider (NPI-1).
NPI number1154699486
StatusActive
Last updated in NPPESDec 1, 2011
Details
- NPI
- 1154699486
- Entity type
- Individual (NPI-1)
- Name
- Robert Lynall
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2011
- Last updated
- Dec 1, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096002940 | IL | Yes |
Practice location
Kaufman Football BuildingCampus Box 7160
Normal, IL 61790-0001
Phone 309-438-3111
Mailing address
Kaufman Football BuildingCampus Box 7160
Normal, IL 61790-0001
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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