Active NPI
Gina Stees, ATC
- Athletic Trainer
- Elmwood Park, IL
National Provider Identifier
1962099630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.005333
- Practice address
- 8201 W Fullerton Ave
Elmwood Park, IL 60707-2449 - Phone
- (304) 280-4013
- NPI assigned
- Dec 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Assistant | 246ZX2200X | 22-0418 | IL | |
| Athletic Trainer | 2255A2300X | 096.005333 | IL | Primary |
Addresses
Primary practice location
8201 W Fullerton Ave
Elmwood Park, IL 60707-2449
Mailing address
210 N Austin Blvd Apt 3D
Oak Park, IL 60302-3346
Phone (304) 280-4013
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 |
|---|---|---|---|
| 096.005333 | IL | MD | Athletic Trainer |
| 22-0418 | IL | MD | Orthopedic Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1962099630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N AUSTIN BLVD APT 3D",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603023346",
"telephone_number": "304-280-4013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 W FULLERTON AVE",
"city": "ELMWOOD PARK",
"state": "IL",
"postal_code": "607072449",
"telephone_number": "304-280-4013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEES",
"first_name": "GINA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-28",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": "IL",
"license": "22-0418",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.005333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmwood Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.