Kevin Stalsberg

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

600 Hart Rd
Suite 115
Barrington, IL 60010-2623

Phone

(847) 277-7444

NPI assigned

Nov 23, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• WCS Occupational Rehabilitation & Sports Medicine, Inc.

  • Physical Therapist
  • Flossmoor, IL
  • NPI 1508184177
  NPD (past)
• WCS Occupational Rehabilitation and Sports Medicine, Inc.

  • Physical Therapist
  • Barrington, IL
  • NPI 1275712515
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1275714834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HART RD",
            "address_2": "SUITE 115",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102623",
            "telephone_number": "847-277-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALSBERG",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7454077",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01622333",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoonmee Song, NP-C
• Judith B Sorenson, MS,CCC,SLP
• Katherine Souhala, FNP-BC
• Cheri Spiczka, LCPC, LPC, MA
• Spine Tech, Inc
• Deborah Stamm, APN-BC, MSN, RN
• Kaitlin Mae Steffenhagen, DO
• Leeann Steinfeldt, D.C.
• Stephen a Madry MD
• Grace Isabell Stevens

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.