Elenil Kaithlyn Deypalubos, MSAT, ATC, CFSC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2401 Ravine Way Ste 200
Glenview, IL 60025-7645

Phone

(847) 832-6745

NPI assigned

Jun 15, 2023

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

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1346924644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W STADIUM AVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RAVINE WAY STE 200",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257645",
            "telephone_number": "847-832-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYPALUBOS",
        "first_name": "ELENIL",
        "middle_name": "KAITHLYN",
        "credential": "MSAT, ATC, CFSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mihir Samir Desai, MD
• Shaily Desai, PT, DPT
• Richard W Desecki
• Jodi Despoy, PTA
• Katherine Elizabeth Devore
• Kumud Dhopte
• Diarkis Health
• Daniel Omar Diaz, OTR/L
• Juan Manuel Diaz, PTA
• Sarah De Matta Diaz, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.