Gina Lin McDonald, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096003062 Issued in IL

Practice address

3551 Highland Ave
Downers Grove, IL 60515-2100

Phone

(630) 275-2640

NPI assigned

Sep 9, 2019

Last updated

Sep 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1447809710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13132 W CREEKSIDE DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918105",
            "telephone_number": "708-822-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 HIGHLAND AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152100",
            "telephone_number": "630-275-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "GINA",
        "middle_name": "LIN",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096003062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "096003062",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason McBride, MPT
• Madalyn McCann
• Megan Gallagher McCatty, A.P.N., C.N.P.
• Allison Rose McClain, D.O
• Margaret Colby McCormick
• Kayla McGill, LCPC
• Laura A. McGrath, D.C.
• Robert Arthur McGuffin Jr., M.D.
• Frederick Edward McGuire II, D.D.S
• McKee & McKee, P C

• Athletic Trainer in Downers Grove, IL
• Providers in Downers Grove, 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 9, 2019; 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.