Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL PATRICK PENDERGAST SR., ATC
ActiveMICHAEL PATRICK PENDERGAST SR., ATC is a Athletic Trainer healthcare provider located in MACOMB, Illinois. NPI 1275598161 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MACOMB, IL
Registration Details
- NPI Number
- 1275598161
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2006 (20.28121421606 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
WESTERN ILLINOS UNIVERSITY ATHLETIC DEPT.ONE UNIV. CIRCLEMACOMB, IL, 61455Browse IL providers · Browse ZIP 61455
- Phone
- 3092081253
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MACOMB, IL
| Name | Credential | NPI |
|---|---|---|
| RENEE L POLUBINSKY | ATC, CSCS | 1134193691 |
| JENNIFER M PLOS | ATC | 1376511949 |
| MR. KELLY JAY MCBRIDE | ATC/L | 1467412452 |
| MISS AMY BECKMAN | MS, ATC, CSCS | 1730116591 |
| MR. CHAD C CERULLO | MS, LAT, ATC | 1932252319 |
| MOLLY LYNN ANDERSON | — | 1407079429 |
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.