Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLEN DWAYNE GERDES, MS, ATC
ActiveMR. GLEN DWAYNE GERDES, MS, ATC is a Athletic Trainer healthcare provider located in LIBERTYVILLE, Illinois. NPI 1205993227 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LIBERTYVILLE, IL
Registration Details
- NPI Number
- 1205993227
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2007 (19.571770249562 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
801 S MILWAUKEE AVELIBERTYVILLE, IL, 600483204Browse IL providers · Browse ZIP 60048
- Phone
- 8479905779
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LIBERTYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD G NOELTE | ATC | 1205804895 |
| MR. ALEX HATZIKOSTANTIS | ATC | 1982617445 |
| MR. MARK ERIC ROBSON | ATC | 1538294202 |
| SARA L WRIGHT | ATC | 1912115627 |
| DANIEL R HENRICHS | ATC | 1205066610 |
| KATELIN GARTNER | — | 1184997017 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.