Active NPI
Kristin Dawn Pila, ATC
- Athletic Trainer
- Palos Hills, IL
National Provider Identifier
1811029747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096001364
- Practice address
- 8015 W 111TH St
Palos Hills, IL 60465-2203 - Phone
- (312) 399-1546
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 096001364 | IL | Primary |
Addresses
Primary practice location
8015 W 111TH St
Palos Hills, IL 60465-2203
Mailing address
9829 S Kilbourn Ave
Oak Lawn, IL 60453-3528
Phone (312) 399-1546
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 |
|---|---|---|---|
| 096001364 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1811029747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9829 S KILBOURN AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533528",
"telephone_number": "312-399-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8015 W 111TH ST",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604652203",
"telephone_number": "312-399-1546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILA",
"first_name": "KRISTIN",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096001364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palos Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.