NPI 1285528240

Edward Jacobs, ATC

Practitioner Athletic Trainer Sycamore, IL

Practice location

Address: 344 N Main St Unit D, Sycamore, IL 60178-1456
Phone: (630) 485-8316

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096005776 (IL)

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Registry record

NPI: 1285528240
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2025
Record last updated: 4 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.