Active NPI
Gregg Jon Macek, ATC
- Athletic Trainer
- Schaumburg, IL
National Provider Identifier
1740264159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096-000773
- Practice address
- 929 W Higgins Rd
Schaumburg, IL 60195-3203 - Phone
- (847) 285-4385
- Fax
- (847) 285-4240
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- 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 | 096-000773 | IL | Primary |
Addresses
Primary practice location
929 W Higgins Rd
Schaumburg, IL 60195-3203
Mailing address
929 W Higgins Rd
Schaumburg, IL 60195-3203
Phone (847) 285-4385
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096.000773 | Other | IL | STATE LICENSE NUMBER |
| 099502478 | Other | IL | BOARD OF CERTIFICATION NUMBER |
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 |
|---|---|---|---|
| 096-000773 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1740264159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 W HIGGINS RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601953203",
"telephone_number": "847-285-4385",
"fax_number": "847-285-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 W HIGGINS RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601953203",
"telephone_number": "847-285-4385",
"fax_number": "847-285-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACEK",
"first_name": "GREGG",
"middle_name": "JON",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096-000773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "096.000773",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION NUMBER",
"identifier": "099502478",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.