Unknown Individual – Athletic Trainer, NPI 1003836180
Athletic Trainer
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
646, Bedford Drive, Crystal Lake, McHenry County, Illinois, 60014, United States
CRYSTAL LAKE, IL 600148402
Phone: (815) 455-8043
Type: Mailing
Crystal Lake South High School, 1200, Concord Drive, Crystal Lake, McHenry County, Illinois, 60014, United States
1200 S. MCHENRY AVE.
CRYSTAL LAKE, IL 60014
Phone: (815) 455-8512
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60014)
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