Adalberto Oscar Reyes Jr., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.005673 Issued in IL

Practice address

755 Pulaski Rd
Calumet City, IL 60409-4030

Phone

(708) 585-1036

NPI assigned

Jan 21, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1043022726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 W 66TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293426",
            "telephone_number": "773-697-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 PULASKI RD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604094030",
            "telephone_number": "708-585-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ADALBERTO",
        "middle_name": "OSCAR",
        "name_suffix": "Jr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.005673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soham Rajpara, DDS
• Randall F Akel & Associates S C
• Anthony Carl Redmond, PSYD. M.A., CAADC
• Tiraney Redmond
• Sujithra Reprakash, PA-C
• Nwanneka Richardson, M.B.B.S.
• River Oaks and Park Forest Opco LLC
• Tammara Elise Roberson-Green, PT
• Laci Robinson
• Michael Roe, LCSW, LCPC

• Athletic Trainer in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.