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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JERRY MARK BORNHOFF, ATC, LAT, CSCS

Active

MR. JERRY MARK BORNHOFF, ATC, LAT, CSCS is a Athletic Trainer healthcare provider located in PARK RIDGE, Illinois. NPI 1578552782 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PARK RIDGE, IL

Registration Details

NPI Number
1578552782
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2005 (20.810881484857 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
1111 S DEE RD
PARK RIDGE, IL, 600684379
Browse IL providers · Browse ZIP 60068
Phone
8476928246
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PARK RIDGE, IL

Name Credential NPI
CHRISTINA LANDRETH 1417310111
KATHRYN TURNQUIST ATC 1629588959
ABRIL MALAGON 1104438621
EMMA DINEEN BAUER 1790421469
LEWIS JAMES SECOR ATC 1255110490
VICTORIA ISABEL PEREZ 1407635477
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.