MR. JAY PATRICK ANDERSON (ATC) – Athletic Trainer, NPI 1306828645

MR. JAY PATRICK ANDERSON (ATC) is a healthcare provider. based in Crystal lake, Illinois. specializing in Athletic Trainer. They hold the professional credentials ATC. They hold a License No. 96000601 (IL). The NPI Number for MR. JAY PATRICK ANDERSON (ATC) is 1306828645

Main info

Male
Name
MR. JAY PATRICK ANDERSON (ATC)
NPI
1306828645
Phone
(815) 356-0456
Address
357 CORRINE AVE
Enumeration Date
14 November 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JAY PATRICK ANDERSON (ATC)

  • 357, Corrine Avenue, Crystal Vista, Crystal Lake, McHenry County, Illinois, 60014, United States

    CRYSTAL LAKE, IL 600145161

    Phone: (815) 356-0456

    Fax: (847) 628-1591

    Type: Mailing

  • Benjamin P Browne Library, 1151, North State Street, Elgin, Kane County, Illinois, 60123, United States

    ELGIN, IL 601231404

    Phone: (847) 628-1592

    Fax: (847) 628-1591

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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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Reviews

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Frequently asked questions

How do payers reference MR. JAY PATRICK ANDERSON (ATC)?
For MR. JAY PATRICK ANDERSON (ATC), use NPI 1306828645 as the unique 10-digit identifier.
Would MR. JAY PATRICK ANDERSON (ATC) appear as active to a payer?
You can treat MR. JAY PATRICK ANDERSON (ATC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. JAY PATRICK ANDERSON (ATC)?
MR. JAY PATRICK ANDERSON (ATC) is associated with Athletic Trainer in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. JAY PATRICK ANDERSON (ATC)?
Travel planning: use Crystal Lake, Illinois as the reference point for MR. JAY PATRICK ANDERSON (ATC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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