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JONATHAN DWAIN WIEZOREK ATC
NPI 1326393190
Specialist/Technologist - Athletic Trainer in Chatham, IL

Active since July 18, 2012
611 WILLOWS AVE, CHATHAM, IL 62629(217) 415-5806 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Dwain Wiezorek Atc NPPES

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

JONATHAN DWAIN WIEZOREK ATC (NPI 1326393190) is an individual athletic trainer provider in Chatham, Illinois, licensed in Illinois (096002447) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1326393190
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJONATHAN DWAIN WIEZOREKCredential: ATC
Location Address611 WILLOWS AVEChatham, IL 62629-1717
Mailing Address611 Willows AveChatham, IL 62629-1717 · (217) 415-5806
Phone(217) 415-5806
Sole ProprietorNo
Enumeration DateJuly 18, 2012
✔ NPI 1326393190 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
License✔ Licensed in IL · 096002447
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.
611 WILLOWS AVE, Chatham, IL 62629
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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 Jonathan Wiezorek's NPI number?

The NPI number for Jonathan Wiezorek is 1326393190. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Jonathan Wiezorek located?

Jonathan Wiezorek practices at 611 Willows Ave, Chatham, IL 62629. The listed phone number is (217) 415-5806.

What is Jonathan Wiezorek'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 Jonathan Wiezorek was last updated on July 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.