Active NPI
Victoria Ghilardi, LAT, ATC
- Athletic Trainer
- River Forest, IL
National Provider Identifier
1639941149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.004460
- Practice address
- 7900 Division St
River Forest, IL 60305-1066 - Phone
- (708) 524-6226
- NPI assigned
- Oct 27, 2023
- 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 | 096.004460 | IL | Primary |
Addresses
Primary practice location
7900 Division St
River Forest, IL 60305-1066
Mailing address
7900 Division St
Power 027
River Forest, IL 60305
Phone (708) 524-6226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000026851 | Other | NATA BOC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096.004460 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1639941149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 DIVISION ST",
"address_2": "POWER 027",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "60305",
"telephone_number": "708-524-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 DIVISION ST",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051066",
"telephone_number": "708-524-6226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHILARDI",
"first_name": "VICTORIA",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-27",
"last_updated": "2023-10-27",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.004460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATA BOC",
"identifier": "2000026851",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in River Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.