Olivia O Zander, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.003870 Issued in IL

Practice address

625 Enterprise Drive Oak Brook, Il 60523
Oak Brook, IL 60523-8813

Phone

(815) 953-4828

NPI assigned

Aug 26, 2014

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

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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1477953586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 DELMAR DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512311",
            "telephone_number": "815-953-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DRIVE OAK BROOK, IL 60523",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "815-953-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDER",
        "first_name": "OLIVIA",
        "middle_name": "O",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.003870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Yousuf
• Mario Yu, MD
• Ghazala Zaid
• Pablo Zalduendo, M.D.
• Matthew Zalewski, ATC
• Douglas Charles Zapotocny, L.C.S.W.
• Megan Elizabeth Zarembski, MS, CCC-SLP
• Zdenek Durek MD LTD
• Katherine L Zeigler, M.D.
• Zia Durrani, MD.S.C.

• Athletic Trainer in Oak Brook, IL
• Providers in Oak Brook, 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 25, 2014; 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.