Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN ALEXANDER BLACK, ATC
ActiveBENJAMIN ALEXANDER BLACK, ATC is a Athletic Trainer healthcare provider located in WILLOW BROOK, Illinois. NPI 1699751396 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WILLOW BROOK, IL
Registration Details
- NPI Number
- 1699751396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2005 (20.628590284479 yrs)
- Last Updated
- Jul 8, 2007
- License
-
96002214 (IL)
Practice Information
- Address
-
207 63RD STATHLETICOWILLOW BROOK, IL, 605272147Browse IL providers · Browse ZIP 60527
- Phone
- 6302300900
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WILLOW BROOK, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES JOHN ALLIVATO JR. | LAT, ATC | 1942200266 |
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.