ANDREW WYMAN (NPI# 1033564703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033564703 |
| Entity Type | Individual |
| Full Name | ANDREW WYMAN |
| Credential | MS, ATC |
| Practice Address |
1209 W Ogden Ave La Grange Park IL 60526-1700 |
| Practice Telephone | 7083878584 |
| Mailing Telephone | 7083878584 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.003363 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295808277 | Andrew Joseph Wyman | Dentist | 795 Ne Midway Blvd, Suite 201, Oak Harbor, WA 98277-2683 | 2006-11-16 |
| 1487083887 | Andrew Wyman | Counselor | 200 N 7th St, Lebanon, PA 17046-5040 | 2013-11-06 |
| 1639460553 | Andrew Wyman | Emergency Medicine | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2011-04-26 |
| Street Address |
1209 W OGDEN AVE |
| City | LA GRANGE PARK |
| State | IL |
| Zip Code | 60526-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073944344 | Emily Patricia Monteagudo Crohn | Speech-Language Pathologist | 901 Forest Rd, La Grange Park, IL 60526 | 2013-12-11 |
| 1821334830 | Erelin M Deang | Behavioral Analyst | 306 N. Kensington Ave., La Grange Park, IL 60526 | 2012-12-19 |
| 1013168129 | Regan Thompson | Specialist | 11 Garden Drive #4, La Grange Park, IL 60526 | 2008-10-07 |
| 1437379724 | Manuel A.malicay Md Sc | Internal Medicine | 430 N. Sherwood Road, La Grage Park, IL 60526 | 2007-04-27 |
| 1790861383 | Pinnacle Healthcare of La Grange | Skilled Nursing Facility | 701 N La Grange Rd, La Grange Park, IL 60526 | 2006-10-27 |
| 1285681734 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 507 Woodlawn Dr, La Grange Park, IL 60526 | 2006-05-30 |
| 1386606713 | John T Polacek | Dentist | 539 N La Grange Road, La Grange Park, IL 60526 | 2006-04-03 |
| 1326526534 | Samantha L Ylagan | Occupational Therapist | 407 N La Grange Rd, La Grange Park, IL 60526 | 2018-07-31 |
| 1396236139 | Mary B Cipolla | Physical Therapist | 407 N La Grange Rd, La Grange Park, IL 60526 | 2018-05-29 |
| 1376738823 | Francis James Di Iorio | Chiropractor | 48 E 31st St, La Grange Park, IL 60526 | 2007-09-07 |
| Find all providers in zip 60526 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902182009 | Jessica Dunne | Specialist/Technologist | 901 Meadowcrest Rd, La Grange Park, IL 60526-1530 | 2011-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771076 | Stacey Weathers-cannon | Specialist/Technologist | 650 Ingraham Ave, Calumet City, IL 60409-4236 | 2020-08-17 |
| 1104438621 | Abril Malagon | Specialist/Technologist | 1 S Greenwood Ave, Palatine, IL 60074-6328 | 2020-08-17 |
| 1265050678 | Megan Elsbree | Specialist/Technologist | 11819 Deacon Dr, Rockton, IL 61072-9411 | 2020-07-13 |
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1164047239 | Madison Stagman | Specialist/Technologist | 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 | 2020-06-14 |
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1336761386 | Christine Louise Shebelski | Specialist/Technologist | 15203 Pulaski Rd, Midlothian, IL 60445-3755 | 2020-05-13 |
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1487276747 | Vianey Hernandez-ramirez | Specialist/Technologist | 4115 Howard St, Skokie, IL 60076-3749 | 2020-05-09 |
| Find all providers with the same taxonomy | ||||
| City | LA GRANGE PARK |
| Zip Code | 60526 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.