Individual provider Active NPI

Gina Stees, ATC

  • Athletic Trainer
  • Elmwood Park, IL
National Provider Identifier
1962099630
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
096.005333 Issued in IL
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

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
096.005333ILMDAthletic Trainer
22-0418ILMDOrthopedic 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.

Verify at the official NPI Registry.