David Clayton Graeff
Individual provider Active NPI Athletic Trainer · Bridgeview, IL
NPI 1093554883 · NPPES record last updated May 21, 2024
Key facts
- NPI
- 1093554883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 096002356 (IL)
- Practice address
- 7700 W 71St St
Bridgeview, IL 60455-1051 - Phone
- (815) 347-8262
- NPI assigned
- May 21, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096002356 | IL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096002356 | IL | Yes |
Addresses
Primary practice location
7700 W 71St St
Bridgeview, IL 60455-1051
Mailing address
1320 MC Dowell Rd Apt 202
Naperville, IL 60563-1178
Phone (815) 347-8262
Other providers in Bridgeview, IL
- Marlinde Gibbs
- Terrence Robert Gilman Sr.
- Ellen Kay Ginise
- Ebony B Glenn
- Gofleet LLC
- Kenneth Gretschmann
- Basem Khader Hamdan
- Yousef Hassan
- Health-1St Center, LTD.
- Healthy All Time LLC
All providers in Bridgeview, IL · Athletic Trainer in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.