Steven J Szymkowiak, MA, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

999 Kedzie Ave
Athletic Department
Flossmoor, IL 60422-2248

Phone

(708) 335-5688

Fax

(708) 799-8292

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Homewood-Flossmoor Community High School District 233

  • Local Education Agency (LEA)
  • Flossmoor, IL
  • NPI 1790825909
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851315022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17102 STERLING CT",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413819",
            "telephone_number": "312-816-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 KEDZIE AVE",
            "address_2": "ATHLETIC DEPARTMENT",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222248",
            "telephone_number": "708-335-5688",
            "fax_number": "708-799-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMKOWIAK",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "MA, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEC./ATHLETIC TRAINER",
            "identifier": "2255A2300X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.