Michael Edward Gilboe, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096001085 Issued in IL

Practice address

555 N Sheridan Rd
Lake Forest College-Athletic Department
Lake Forest, IL 60045-2338

Phone

(847) 735-5296

NPI assigned

Mar 10, 2006

Last updated

Mar 13, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1386612737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39285 N MEADOW LN",
            "city": "WADSWORTH",
            "state": "IL",
            "postal_code": "600839664",
            "telephone_number": "847-336-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N SHERIDAN RD",
            "address_2": "LAKE FOREST COLLEGE-ATHLETIC DEPARTMENT",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452338",
            "telephone_number": "847-735-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBOE",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096001085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rilina Ghosh, MD
• Bridget J Giblin, PA-C
• Sheryl Giese, APRN, CNP
• Sania Gilani, PA-C
• Michael Gilbert, DDS
• Emily Anne Gilley, M.D.
• Kurt Ginter, R.K.T.
• Wayne R Glad, PHD
• Susan Jane Glazer Belgrad, MSW ACSW LCSW
• Sinead Brieda Godley

• Athletic Trainer in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.