MR. MICHAEL JOHN MCCORMICK (NPI# 1477540854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477540854 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JOHN MCCORMICK |
| Credential | ATC |
| Practice Address |
1323 W Diversey Pkwy Chicago IL 60614-1207 |
| Mailing Address |
460 Bradford Cir Elk Grove Village IL 60007-3312 |
| Practice Telephone | 7735492520 |
| Practice Fax Number | 7735492743 |
| Mailing Telephone | 6309283400 |
| Mailing Fax Number | 7735492743 |
| Enumeration Date | 2005-09-30 |
| 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 |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018176 | Michael Patrick Mccormick | Physician Assistant | 76 Scott Cir, Dedham, MA 02026-6423 | 2020-09-22 |
| 1356710636 | Michael Mccormick | Physical Therapist | 5141 E. I-20, Service Road North, Willow Park, TX 76087 | 2015-09-17 |
| 1225295074 | Michael Vincent Mccormick II | Counselor | 720 South B St, Bldg# M-1 M-2, San Mateo, CA 94401 | 2008-05-20 |
| 1255423059 | Michael D Mccormick | Dentist | 116 S Front St, Dardanelle, AR 72834 | 2006-09-29 |
| 1780796177 | Michael Sean Mccormick | Dentist | 33 Center St, East Aurora, NY 14052-2244 | 2006-08-31 |
| 1336161181 | Michael Thomas Mccormick | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-07-24 |
| 1548204597 | Michael E Mccormick | Family Medicine | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2006-06-16 |
| 1245279710 | Michael Cooper Mccormick | Dentist | 2015 Wilmington Rd, New Castle, PA 16105-1928 | 2006-06-06 |
| 1992753586 | Michael S Mccormick | Social Worker | 1129 Fall River Cir, Longmont, CO 80504-8770 | 2006-05-05 |
| 1235103938 | Michael A Mccormick | Surgery | 107 Town Center Rd, King of Prussia, PA 19406-2330 | 2006-02-17 |
| Street Address |
1323 W DIVERSEY PKWY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099063 | Chelsea K Root | Physical Therapist | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 | 2019-05-28 |
| 1063983484 | Morgan R Copp | Occupational Therapist | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 | 2018-12-11 |
| 1063999068 | Lindsay R Okrent | Physical Therapist | 1323 W Diversey Pkwy, Chicago, IL 60614 | 2018-07-23 |
| 1902322761 | Karli H Smith | Physical Therapist | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 | 2017-08-14 |
| 1851792600 | Vincent Paul Isaac | Physical Therapist | 1323 W Diversey Pkwy, Chicago, IL 60614 | 2014-09-11 |
| 1386078731 | Kyle J Wagner | Physical Therapist | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 | 2013-08-21 |
| 1629319439 | Michael C Jordhamo | Physical Therapist | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 | 2013-03-05 |
| 1285932368 | Heather Alaniz | Physical Therapist | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 | 2011-03-14 |
| 1114240397 | Kelly Clor | Physical Therapist | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 | 2010-03-02 |
| 1366777146 | Lauren Macmillan | Physical Therapist | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 | 2009-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in CHICAGO | ||||
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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.