Steven Michael Bagus, ATC, NASM-PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.002660 Issued in IL

Practice address

10312 Long Ave
Oak Lawn, IL 60453-4643

Phone

(708) 528-0759

NPI assigned

Nov 29, 2011

Sex

Male

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": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1770850141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10312 LONG AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534643",
            "telephone_number": "708-528-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10312 LONG AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534643",
            "telephone_number": "708-528-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGUS",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "ATC, NASM-PES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.002660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaara Babwah, MD
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• Christian P Badillo, M.D.
• Leena S Badiwale, DPT
• Susan M Bagdade, APRN
• Nora Jane Bak, FNP-BC
• Abbey J Baker, PA-C
• Andrew L Baker
• Kaleb Thomas Baker, DO
• Karyn Baker

• Athletic Trainer in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.