Jessica Neukam, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096003135 Issued in IL

Practice address

799 Central Ave
Suite 210
Highland Park, IL 60035-5637

Phone

(847) 681-8720

NPI assigned

Nov 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1346527033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 DOBSON ST APT 2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 CENTRAL AVE",
            "address_2": "SUITE 210",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355637",
            "telephone_number": "847-681-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUKAM",
        "first_name": "JESSICA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096003135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A. Natonson, MD
• Madeleine Neems, M.D.
• Neil R Friedman MD LTD
• Diane Nekritz, MA, CCC-SLP
• Lauren Nelson
• New Day Psychology LLC
• New Edge Counseling Services
• New Journey Physical Therapy, L.L.C.
• Lorri Hillman Newman, LCSW
• Robyn M Newman, PHD, CCC-SLP/L

• Athletic Trainer in Highland Park, IL
• Providers in Highland Park, 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 8, 2011; 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.