Adam Michael Babiarz, DAT, LAT, ATC
Individual provider Active NPI Athletic Trainer · Elmwood Park, IL
NPI 1114398310 · NPPES record last updated Mar 17, 2020
Key facts
- NPI
- 1114398310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 096005047 (IL)
- Practice address
- 2105 N 73Rd Ave
Elmwood Park, IL 60707-3148 - Phone
- (708) 250-4451
- NPI assigned
- Oct 13, 2015
- 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 |
|---|---|---|---|
| 096005047 | IL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096005047 | IL | Yes |
Addresses
Primary practice location
2105 N 73Rd Ave
Elmwood Park, IL 60707-3148
Mailing address
2105 N 73Rd Ave
Elmwood Park, IL 60707-3148
Phone (708) 250-4451
Other providers in Elmwood Park, IL
- Ams Medical Billing Consultants Inc
- Sid Anderson
- Anthony O. Ponzio DDS PC
- Lory Joanna Arquilla-Maltby
- Gerard Aylward
- Grace Catherine Babich
- Irene M Bakos
- Michael G Banuelos
- Frederick Allan Barber
- Bardach-Schoene Co. Inc.
All providers in Elmwood Park, 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 Mar 17, 2020. 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.