MR. ROBERT E LACEY (NPI# 1700056926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700056926 |
| Entity Type | Individual |
| Full Name | MR. ROBERT E LACEY |
| Credential | ATC |
| Practice Address |
9634 S Pulaski Rd Oak Lawn IL 60453-3391 |
| Mailing Address |
10933 S Central Park Ave Chicago IL 60655-3304 |
| Practice Telephone | 7084234800 |
| Mailing Telephone | 7737795414 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 |
|---|---|---|---|---|
| 1639198203 | Robert Ray Lacey | Optometrist | 207 W Commerce St, Aberdeen, MS 39730-2633 | 2006-07-18 |
| 1225026909 | Robert J Lacey | Psychologist | 205 Worcester Court, Suite A-4 5, Falmouth, MA 02540 | 2005-10-07 |
| Street Address |
9634 S PULASKI RD |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-3391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659344778 | Sara Ann Barr | Specialist | 9634 S Pulaski Rd, Oak Lawn, IL 60453-3391 | 2006-02-09 |
| 1689213472 | Megan Ryan | Occupational Therapist | 9634 S Pulaski Rd, Oak Lawn, IL 60453-3391 | 2019-12-27 |
| 1881041705 | Darnisha Hudson | Physical Therapist | 9634 S Pulaski Rd, Oak Lawn, IL 60453-3391 | 2016-05-20 |
| 1366849291 | Michael Vari | Specialist/Technologist | 9634 S Pulaski Rd, Oak Lawn, IL 60453-3391 | 2014-11-20 |
| 1881003713 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9634 S Pulaski Rd, Oak Lawn, IL 60453-3391 | 2014-08-05 |
| 1811250350 | Sarah R Zayyad | Physical Therapist | 9634 S Pulaski Rd, Oak Lawn, IL 60453-3391 | 2012-06-20 |
| 1790047322 | Lynne M Lesniak | Physical Therapist | 9634 S Pulaski Rd, Oak Lawn, IL 60453-3391 | 2012-06-11 |
| 1952555682 | Amy E. Brennan | Physical Therapist | 9634 S Pulaski Rd, Oak Lawn, IL 60453-3391 | 2008-11-07 |
| 1104079961 | Paul S Pepich | Physical Therapist | 9634 S Pulaski Rd, Oak Lawn, IL 60453-3391 | 2008-10-24 |
| 1821251661 | Gregory R Purdy | Physical Therapist | 9634 S Pulaski Rd, Oak Lawn, IL 60453-3391 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| 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 |
|---|---|---|---|---|
| 1528515244 | Megan Pacetti | Specialist/Technologist | 4633 W 98th Pl, Oak Lawn, IL 60453-3129 | 2016-09-10 |
| 1790185478 | Rebecca Ann Egan | Specialist/Technologist | 5220 Oak St, Oak Lawn, IL 60453-2429 | 2014-08-29 |
| 1770850141 | Steven Michael Bagus | Specialist/Technologist | 10312 Long Ave, Oak Lawn, IL 60453-4643 | 2011-11-29 |
| 1366849291 | Michael Vari | Specialist/Technologist | 9634 S Pulaski Rd, Oak Lawn, IL 60453-3391 | 2014-11-20 |
| 1396178257 | Anthony Michael Cukierski | Specialist/Technologist | 9400 Southwest Hwy, Oak Lawn, IL 60453-2372 | 2013-08-14 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. ROBERT E LACEY.
| 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.