Matthew Mark Johnson in La Grange Park - Athletic Trainer
Matthew Mark Johnson - NPI 1770556128
Matthew Mark Johnson is a Athletic Trainer in La Grange Park, Illinois. Matthew Mark Johnson practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Matthew Mark Johnson is 1770556128. The last update date is 2007-07-08.
Matthew Mark Johnson's current location address is 442 N Kensington Ave, La Grange Park, Illinois. You can contact this provider via phone number 6176801863. The mailing address for Matthew Mark Johnson is 442 N Kensington Ave, La Grange Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Mark Johnson |
|---|---|
| Address | 442 N Kensington Ave, La Grange Park, Illinois |
| Phone Number | 6176801863 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MS, ATC, C |
NPI Number Detail
| NPI Number | 1770556128 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 442 N Kensington Ave |
|---|---|
| City | La Grange Park |
| State | Illinois (IL) |
| Post Code | 605261872 |
| Phone Number | 6176801863 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 338 |
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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 unique 10-digit identifier code assigned to Matthew Mark Johnson by the Centers for Medicare & Medicaid Services?
The Matthew Mark Johnson has been issued the NPI (National Provider Identifier) 1770556128 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Matthew Mark Johnson is physically located?
The Matthew Mark Johnson is physically situated at the following address: 442 N Kensington Ave, La Grange Park, IL, 605261872.
What is the area of specialization for Matthew Mark Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Matthew Mark Johnson is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of expertise is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770556128 to Matthew Mark Johnson?
The Matthew Mark Johnson received its 1770556128 assignment from the Centers for Medicare & Medicaid Services on 2006-02-08.
As of what date were the Matthew Mark Johnson's details last updated?
The information pertaining to the Matthew Mark Johnson, including its address, specialty, and other details, was most recently updated on 2007-07-08.