Timothy Desmond Mizdrak ATC, LAT

  • NPI 1104399856
According to our database, the NPI number for Timothy Desmond Mizdrak ATC, LAT is 1104399856 and activated since 5 years ago. Timothy Desmond Mizdrak ATC, LAT is an individual provider who specializes in Athletic Trainer, and the primary practice location is 1133 S State St # B500, Chicago, IL 60605. You can also contact Timothy Desmond Mizdrak ATC, LAT via telephone number is (847) 894-6221. Provider NPI information was last updated on 01/05/2019.

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Overview of Timothy Desmond Mizdrak ATC, LAT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/05/2019
  • Last updated: 01/05/2019

Primary Scrop of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 096.004715
  • License State: IL

Provider Mailing Address

  • Address: 1133 S State St # B500
    Chicago, IL 60605
  • Phone: 847-894-6221
  • Fax:

Provider Practice Location

  • Address: 1133 S State St # B500
    Chicago, IL 60605
  • Phone: 847-894-6221
  • Fax:

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 096.004715
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Timothy Desmond Mizdrak ATC, LAT?
  • A: The npi number for Timothy Desmond Mizdrak ATC, LAT is 1104399856.
  • Q: What are Timothy Desmond Mizdrak ATC, LAT's specialties?
  • A: Timothy Desmond Mizdrak ATC, LAT's specialties are Athletic Trainer and different specialities.
  • Q: What is the medical license for Timothy Desmond Mizdrak ATC, LAT?
  • A: The medical license number for Timothy Desmond Mizdrak ATC, LAT is 096.004715 and issued in IL in USA.
  • Q: Where is Timothy Desmond Mizdrak ATC, LAT practice location?
  • A: Timothy Desmond Mizdrak ATC, LAT is practicing at 1133 S State St # B500, Chicago, IL 60605.
  • Q: How to contact Timothy Desmond Mizdrak ATC, LAT?
  • A: You can contact Timothy Desmond Mizdrak ATC, LAT via 847-894-6221.