Active NPI
Jenna Joy Wendt, ATC
- Athletic Trainer
- Oak Brook, IL
National Provider Identifier
1326444811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.003586
- Practice address
- 625 Enterprise Dr
Oak Brook, IL 60523-8813 - Phone
- (847) 207-6604
- NPI assigned
- Nov 10, 2014
- Last updated
- Sep 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 096.003586 | IL | Primary |
Addresses
Primary practice location
625 Enterprise Dr
Oak Brook, IL 60523-8813
Mailing address
1811 W Addison St Apt 3E
Chicago, IL 60613-4278
Phone (847) 207-6604
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 |
|---|---|---|---|
| 096.003586 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1326444811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 W ADDISON ST APT 3E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606134278",
"telephone_number": "847-207-6604"
},
{
"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": "605238813",
"telephone_number": "847-207-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDT",
"first_name": "JENNA",
"middle_name": "JOY",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.003586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
- Kerrie Lynn Weber, L.C.P.C.
- Weil Foot and Ankle Institute LLC (Weil Foot & Ankle Institute)
- Weil Foot and Ankle Institute LLC
- Janet Therese Weis, PT
- Joan Elizabeth Wells, MSW, L.C.S.W.
- Heather A Werenski, OT
- West Regional MRI LTD Partnership (Vision MRI of Oak Brook)
- West Suburban Family Dental
- West Suburban Vision Therapy Center PC
- West Suburban Wellness of Oak Brook, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.