MR. ZACKARY CHARLES DAVIS


Address: 6526 N. Winthrop Avenue, Chicago, IL 60626
Phone: 7735082383

MR. ZACKARY CHARLES DAVIS (NPI# 1326580333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326580333
Entity Type Individual
Full Name MR. ZACKARY CHARLES DAVIS
Credential ATC
Practice Address 6526 N. Winthrop Avenue
Chicago
IL 60626
Mailing Address 1137 Oak Ave
Evanston
IL 60202-1252
Practice Telephone 7735082383
Mailing Telephone 5137205140
Enumeration Date 2016-11-08
Last Update Date 2016-11-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
096004311 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6526 N. WINTHROP AVENUE
City CHICAGO
State IL
Zip Code 60626

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1972948206 Donna Darcell Smith Counselor 1401 West Jarvis Ave., #2e, Chicago, IL 60626 2013-04-30
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

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1588286272 Sarah Wegrzyn Specialist/Technologist 3040 S Wabash Ave, Chicago, IL 60616-3474 2020-05-15
1881215002 Sierra Smith Specialist/Technologist 6301 S Halsted St, Chicago, IL 60621-2709 2020-04-28
1043830573 Karla Landeros Specialist/Technologist 3533 W 62nd St, Chicago, IL 60629-3703 2020-04-24
1538789607 Isabel Gonzalez Specialist/Technologist 3021 W Ainslie St Apt 1, Chicago, IL 60625-7378 2020-04-19
1679109060 Nicole Dubro Specialist/Technologist 1919 S Wabash Ave Unit 325, Chicago, IL 60616-2061 2020-03-17
1962038604 Aristidis John Adrahtas Specialist/Technologist 2501 W Addison St, Chicago, IL 60618-5902 2020-03-13
1083247969 Nakia Rene' Jones Specialist/Technologist 7934 S Crandon Ave, Chicago, IL 60617-1146 2020-02-19
1841823952 Jennifer Noonan Specialist/Technologist 10522 S Sacramento Ave, Chicago, IL 60655-2031 2020-02-17
1891326740 Anabel Ruiz Specialist/Technologist 2847 N Normandy Ave, Chicago, IL 60634-4816 2020-01-29
1205476645 Jerry Henley Jr. Specialist/Technologist 322 N Leavitt St Unit B, Chicago, IL 60612-1616 2020-01-14
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City CHICAGO
Zip Code 60626

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Dataset Information

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.

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