Edward Halbur, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.002039 Issued in IL

Practice address

1060 W Addison St
Chicago, IL 60613-4566

Phone

(773) 404-4218

NPI assigned

Apr 4, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1801259064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 E DIEHL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503202150",
            "telephone_number": "515-285-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134566",
            "telephone_number": "773-404-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBUR",
        "first_name": "EDWARD",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "00334",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0392",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.002039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Halberg, APN
• Alexa Halbert, BCBA
• Cassandra Halbert
• Rachelle Renee Halbrook, MS, OTR/L
• Andrew Halbur
• Aimee Halcomb, FNP-BC
• Halcyon Counseling and Psychotherapy Services LLC
• Liana Marie Halder, LCSW
• Hale Road Wellness PLLC
• Ashley Hale, RN

• Athletic Trainer in Chicago, IL
• Providers in Chicago, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.