WILLIAM E SOBODAS II (NPI# 1104057264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104057264 |
| Entity Type | Individual |
| Full Name | WILLIAM E SOBODAS II |
| Credential | ATC |
| Practice Address |
972 Brook Forest Ave Shorewood IL 60404-8807 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 8154394938 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096-002677 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
972 BROOK FOREST AVE |
| City | SHOREWOOD |
| State | IL |
| Zip Code | 60404-8807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255390266 | Jason Todd Adolph | Specialist/Technologist | 972 Brook Forest Ave, Shorewood, IL 60431-8807 | 2006-03-20 |
| 1265985212 | Justin Gerkin | Physical Therapy Assistant | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2016-07-26 |
| 1659615813 | Matthew R Dailey | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2012-11-12 |
| 1487921086 | Alyssa K Zimmerman | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2011-11-27 |
| 1063707453 | Jewellie M Hochstein | Specialist/Technologist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2011-06-14 |
| 1942466438 | Brad W Vandevelde | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2008-08-04 |
| 1174685549 | Kathleen M Olsen | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60431-8807 | 2006-12-14 |
| 1720170384 | Kristine L Aquisap | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60431-8807 | 2006-09-29 |
| 1225131402 | Michael Ciurej | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2006-09-06 |
| 1194836742 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60431-8807 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669035242 | Mobile Dental Care of Delaware, Pa | Dentist | 18622 S. Rte 59 Unit A-1, Shorewood, IL 60404 | 2019-04-18 |
| 1326476755 | Christine Briski | Speech-Language Pathologist | 210 W Black Road, Shorewood, IL 60404 | 2013-10-22 |
| 1598000630 | Michael G Mcdowell | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404 | 2012-11-29 |
| 1699028910 | Patti-ann Ebert | Occupational Therapist | 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 | 2012-10-24 |
| 1043567720 | Matthew Reiot Klebenow | Occupational Therapist | 852a Sharp Drive, Provena Physical Therapy & Industrial Rehab. Center, Shorewood, IL 60404 | 2012-08-13 |
| 1366728222 | Linda K Alonso | Pharmacist | 1160 W. Jefferson St., Shorewood, IL 60404 | 2011-10-24 |
| 1205110186 | Lanie R Moreno | Physical Therapist | 850 Brookforest Ave Unit L, Shorewood, IL 60404 | 2011-10-10 |
| 1932386810 | Advanced Family Dental of Shorewood, P.C. | Dentist | 150 N Brook Forest Drive, Shorewood, IL 60404 | 2008-01-23 |
| 1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
| 1124246756 | Alexander Grabavoy | Dentist | 1007 W. Jefferson Street, Shorewood, IL 60404 | 2007-04-20 |
| Find all providers in zip 60404 | ||||
| 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 |
|---|---|---|---|---|
| 1780205377 | Payton Laczynski | Specialist/Technologist | 24518 Lakewoods Ln, Shorewood, IL 60404-0676 | 2020-05-05 |
| 1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
| 1558320580 | Giana Giermala | Specialist/Technologist | 927 Brook Forest Ave, Shorewood, IL 60431-8839 | 2006-03-20 |
| 1255390266 | Jason Todd Adolph | Specialist/Technologist | 972 Brook Forest Ave, Shorewood, IL 60431-8807 | 2006-03-20 |
| 1003186370 | Rebecca Ann Herbert | Specialist/Technologist | 700 W Jefferson St, Shorewood, IL 60404-7608 | 2012-01-04 |
| 1063707453 | Jewellie M Hochstein | Specialist/Technologist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2011-06-14 |
| 1912013269 | Holly Ann Boersma | Specialist/Technologist | 850 Brook Forest Ave, Ste. I, Shorewood, IL 60431-8513 | 2006-08-21 |
| 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 |
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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.