Active NPI
Luke Picek, MS LAT ATC
- Athletic Trainer
- Glenview, IL
National Provider Identifier
1003646407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.005599
- Practice address
- 2401 Ravine Way # 100
Glenview, IL 60025-7645 - Phone
- (847) 499-1708
- NPI assigned
- Aug 2, 2024
- Last updated
- Aug 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096.005599 | IL | Primary |
Addresses
Primary practice location
2401 Ravine Way # 100
Glenview, IL 60025-7645
Mailing address
124 6TH St
Downers Grove, IL 60515-5361
Phone (708) 548-1738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096.005599 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1003646407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 6TH ST",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605155361",
"telephone_number": "708-548-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 RAVINE WAY # 100",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600257645",
"telephone_number": "847-499-1708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICEK",
"first_name": "LUKE",
"credential": "MS LAT ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.005599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.