MR. MATTHEW A MARZULLO (NPI# 1194783241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194783241 |
Entity Type | Individual |
Full Name | MR. MATTHEW A MARZULLO |
Credential | ATC |
Practice Address |
832 E Wilson Ave Lombard IL 60148-4047 |
Practice Telephone | 6307847010 |
Practice Fax Number | 6302689639 |
Mailing Telephone | 6307847010 |
Mailing Fax Number | 6302689639 |
Enumeration Date | 2006-05-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096-00359 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
832 E WILSON AVE |
City | LOMBARD |
State | IL |
Zip Code | 60148-4047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
Find all providers in zip 60148 |
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 |
---|---|---|---|---|
1225592439 | Samantha Lauren Naughton | Specialist/Technologist | 365 E 17th St, Lombard, IL 60148-4905 | 2019-01-22 |
1467916668 | Emily Rose Kates | Specialist/Technologist | 420 N Broadview Ave, Lombard, IL 60148-1563 | 2019-01-22 |
1972039139 | Samantha Bell | Specialist/Technologist | 410 S Brewster Ave, Lombard, IL 60148-2408 | 2017-05-10 |
1407217904 | Lisa Mertz | Specialist/Technologist | 1113 S School St, Lombard, IL 60148-4026 | 2016-03-10 |
1306234596 | Kathryn Sulzmann | Specialist/Technologist | 415 W Hickory St, Lombard, IL 60148-2433 | 2014-12-23 |
1720282346 | Jennifer Lynne Brzezinski | Specialist/Technologist | 1224 S Lloyd Ave, Lombard, IL 60148-4209 | 2007-06-14 |
1326058686 | Steven Adamkiewicz | Specialist/Technologist | 818 Oak Creek Dr, Lombard, IL 60148-6405 | 2006-08-09 |
1649493446 | Christopher Russell Murphy | Specialist/Technologist | 1014 S Main St, Lombard, IL 60148-3938 | 2007-04-10 |
1356472732 | Diane E Cain | Specialist/Technologist | 818 Oak Creek Dr, Lombard, IL 60148-6405 | 2007-03-08 |
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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.