Emily Herberg, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000051575 Issued in IL

Practice address

1076 W Roosevelt Rd
Chicago, IL 60608-1531

Phone

(312) 421-5900

NPI assigned

Mar 28, 2023

Sex

Female

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": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1164126785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5236 N MARMORA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081531",
            "telephone_number": "312-421-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERG",
        "first_name": "EMILY",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "2000051575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herb and Ohm, LLC
• Herb Stone Wellness PLLC
• Oscar Herbas, MD
• Ellen Herbener
• Helena Katherine Herber, MD
• Russell Herberg
• Jacob Herberger, DPT, CSCS, ATC
• Allison Hall Herbert, M.A., LCP
• Dawn Marie Herbert, MSW
• Jennifer Fay Herbert, DNP, FNP-BC, APRN

• Athletic Trainer in Chicago, IL
• Providers in Chicago, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.