Kevin Michael Kacer, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.002735 Issued in IL

Practice address

411 Lowell Dr
South Elgin, IL 60177-2927

Phone

(847) 742-6051

NPI assigned

Nov 1, 2011

Sex

Male

Sole proprietor

Yes

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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1376829531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 W HIGGINS RD",
            "address_2": "#200",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601696955",
            "telephone_number": "847-730-2708",
            "fax_number": "847-885-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LOWELL DR",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772927",
            "telephone_number": "847-742-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACER",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.002735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Blossom Johnson, LCPC
• Kimberly A Jones
• Alison Joniak, ATC
• Tracy Jorgenson
• Siny A Joseph, PHARM D.
• Rosalin Kang
• Yong Kang, MD
• Mindy A Kaplan, CCC-SLP
• Kanella M Kapotas, D.C.
• Ke Therapy Inc.

• Athletic Trainer in South Elgin, IL
• Providers in South Elgin, 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 1, 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.