Active NPI
Michelle Lichterman
- Athletic Trainer
- Bensenville, IL
National Provider Identifier
1598272510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 735 E Jefferson St
Bensenville, IL 60106-3160 - Phone
- (224) 465-4378
- NPI assigned
- Dec 29, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | NU | Primary |
Addresses
Primary practice location
735 E Jefferson St
Bensenville, IL 60106-3160
Mailing address
3 S Louis St
Mount Prospect, IL 60056-3455
Other practice location 1
401 S State St
Chicago, IL 60605-1229
Phone (224) 465-4378
Other practice location 2
2121 S Goebbert Rd
Arlington Heights, IL 60005-4205
Phone (224) 465-4378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1598272510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 S LOUIS ST",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600563455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 E JEFFERSON ST",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601063160",
"telephone_number": "224-465-4378"
}
],
"practiceLocations": [
{
"address_1": "401 S State St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606051229",
"country_code": "US",
"telephone_number": "224-465-4378",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2121 S Goebbert Rd",
"address_purpose": "LOCATION",
"city": "Arlington Heights",
"state": "IL",
"postal_code": "600054205",
"country_code": "US",
"telephone_number": "224-465-4378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LICHTERMAN",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bensenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.