Active NPI
Chloe Foronda Steffens, ATC
- Athletic Trainer
- Oak Brook, IL
National Provider Identifier
1184120305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601001883
- Practice address
- 625 Enterprise Dr
Oak Brook, IL 60523 - Phone
- (630) 575-6200
- NPI assigned
- Apr 5, 2018
- Last updated
- Sep 11, 2018
- Sex
- Female
- 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 | 2601001883 | MI | Primary |
Addresses
Primary practice location
625 Enterprise Dr
Oak Brook, IL 60523
Mailing address
4413 N Clark St FL 2
Chicago, IL 60640-5403
Phone (224) 628-8435
Other practice location 1
1300 Michigan St NE Ste 200
Grand Rapids, MI 49503-2029
Phone (224) 628-8435
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601001883 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1184120305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4413 N CLARK ST FL 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405403",
"telephone_number": "224-628-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "60523",
"telephone_number": "630-575-6200"
}
],
"practiceLocations": [
{
"address_1": "1300 Michigan St NE Ste 200",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032029",
"country_code": "US",
"telephone_number": "224-628-8435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEFFENS",
"first_name": "CHLOE",
"middle_name": "FORONDA",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601001883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.