Raymond Jerome Stadt in Blue Island - Athletic Trainer
Raymond Jerome Stadt - NPI 1164435657
Raymond Jerome Stadt is a Athletic Trainer in Blue Island, Illinois. Raymond Jerome Stadt practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Raymond Jerome Stadt is 1164435657. The last update date is 2007-07-08.
Raymond Jerome Stadt's current location address is 12700 Sacramento Ave, Blue Island, Illinois. You can contact this provider via phone number 7085976300 and fax number 7085976386. The mailing address for Raymond Jerome Stadt is 12700 Sacramento Ave, Blue Island, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raymond Jerome Stadt |
|---|---|
| Address | 12700 Sacramento Ave, Blue Island, Illinois |
| Phone Number | 7085976300 |
| Fax Number | 7085976386 |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1164435657 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12700 Sacramento Ave |
|---|---|
| City | Blue Island |
| State | Illinois (IL) |
| Post Code | 604061822 |
| Phone Number | 7085976300 |
| Fax Number | 7085976386 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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Post Comment/ Review Below
What is the Raymond Jerome Stadt's 1164435657?
The Raymond Jerome Stadt's NPI (National Provider Identifier) Number is 1164435657. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Raymond Jerome Stadt is physically located?
The Raymond Jerome Stadt is physically situated at the following address: 12700 Sacramento Ave, Blue Island, IL, 604061822.
What is Raymond Jerome Stadt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Raymond Jerome Stadt is Athletic Trainer, and the taxonomy classification code that categorizes this area of expertise is 2255A2300X.
When was the Raymond Jerome Stadt's 1164435657 issued?
The Raymond Jerome Stadt's 1164435657 was issued on 2006-08-14.
When was the information related to Raymond Jerome Stadt most recently updated or refreshed?
The details pertaining to the Raymond Jerome Stadt, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.