Robert Mark Mayerson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

96001932 Issued in IL

Practice address

2601 Bunker Hill Dr
Algonquin, IL 60102-9780

Phone

(847) 658-2500

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235103706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W TREEHOUSE LN",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600733597",
            "telephone_number": "847-546-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 BUNKER HILL DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029780",
            "telephone_number": "847-658-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYERSON",
        "first_name": "ROBERT",
        "middle_name": "MARK",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "96001932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IL ATC LICENSE",
            "identifier": "96001932",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Marcuccilli, MSW
• Camelia E Marian, MD
• Antonio Martinez Tlatenchi, PH.D.
• Nataliia Maslovska, MS
• Wajiha Imran Masood, PA-C
• Nicolle T McGuire, PA-C
• Wendy Jean McHugh, OD
• Jenna McLaughlin
• McNally Psychiatric Solutions PLLC
• Joseph P McNally, MD

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

• 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.

Verify at the official NPI Registry.