Active NPI
Amy Novak, ATC, CSCS
- Athletic Trainer
- Chicago, IL
National Provider Identifier
1184607889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 6255 S Archer Ave
Chicago, IL 60638-2609 - Phone
- (773) 284-6735
- NPI assigned
- Nov 28, 2005
- 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 | IL | Primary |
Addresses
Primary practice location
6255 S Archer Ave
Chicago, IL 60638-2609
Mailing address
15411 Aubrieta CT
Orland Park, IL 60462-4315
Phone (708) 250-8458
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 |
|---|---|---|---|
| 096-001550 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184607889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15411 AUBRIETA CT",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624315",
"telephone_number": "708-250-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6255 S ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606382609",
"telephone_number": "773-284-6735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "AMY",
"name_prefix": "Ms.",
"credential": "ATC, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.