MR. GLEN DWAYNE GERDES MS, ATC
NPI 1205993227
Specialist/Technologist - Athletic Trainer in Libertyville, IL

Active since January 02, 2007
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048(847) 990-5779 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Glen Dwayne Gerdes Ms, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLEN DWAYNE GERDES MS, ATC (NPI 1205993227) is an individual athletic trainer provider in Libertyville, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1205993227
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. GLEN DWAYNE GERDESCredential: MS, ATC
Location Address801 S MILWAUKEE AVELibertyville, IL 60048-3204
Mailing Address630 Tallgrass LnLake Villa, IL 60046-6632 · (847) 265-4113
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1205993227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
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.
801 S MILWAUKEE AVE, Libertyville, IL 60048

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Physical Therapist
801 S MILWAUKEE AVE, REHAB DEPARTMENT
LIBERTYVILLE, IL 60048
Radiology (Radiation Oncology)
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Registered Nurse (Diabetes Educator)
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
General Acute Care Hospital
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Nurse Practitioner
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Emergency Medicine
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Emergency Medicine
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Gerdes's NPI number?

The NPI number for Glen Gerdes is 1205993227. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Glen Gerdes located?

Glen Gerdes practices at 801 S Milwaukee Ave, Libertyville, IL 60048. The listed phone number is (847) 990-5779.

What is Glen Gerdes's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Glen Gerdes was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.