1. Home
  2. Directory
  3. Illinois
  4. Champaign
  5. Specialist Technologist
  6. NPI Profile

MARK MAMMEN
NPI 1558800250
Specialist/Technologist - Athletic Trainer in Champaign, IL

Active since February 15, 2017
1806 N MARKET ST, CHAMPAIGN, IL 61822(217) 356-4920 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mark Mammen NPPES

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

MARK MAMMEN (NPI 1558800250) is an individual athletic trainer provider in Champaign, Illinois and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1558800250
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMARK MAMMEN
Location Address1806 N MARKET STChampaign, IL 61822-1312
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909 · (630) 296-2223
Phone(217) 356-4920
Sole ProprietorNo
Enumeration DateFebruary 15, 2017
✔ NPI 1558800250 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.
1806 N MARKET ST, Champaign, IL 61822
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

MR. ALAN KOCH PT
Physical Therapist
1806 N MARKET ST
CHAMPAIGN, IL 61822
Champaign County (217) 356-4920
DAVID J FLETCHER MD LLC
Family Medicine
1806 N MARKET ST
CHAMPAIGN, IL 61822
Champaign County (217) 356-6150
217 REHAB & PERFORMANCE CENTER
Clinic/Center (Physical Therapy)
1806 N MARKET ST
CHAMPAIGN, IL 61822
Champaign County (217) 356-7167
MR. DAVID J FLETCHER MD MPH FACOEM
Preventive Medicine (Occupational Medicine)
1806 N MARKET ST
CHAMPAIGN, IL 61822
Champaign County (217) 356-6150
KAREN CARAWAY
Specialist/Technologist (Athletic Trainer)
1806 N MARKET ST
CHAMPAIGN, IL 61822
Champaign County (217) 356-4920
COLIN GARRIDO MCCARTHY PT, DPT
Physical Therapist
1806 N MARKET ST
CHAMPAIGN, IL 61822
Champaign County (217) 356-4920
JOHN R FLICKINGER PT, DPT
Physical Therapist
1806 N MARKET ST
CHAMPAIGN, IL 61822
Champaign County (217) 356-4920
MILLENNIUM PAIN CENTER
Clinic/Center (Pain)
1806 N MARKET ST
CHAMPAIGN, IL 61822
Champaign County (217) 863-2208

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 Mark Mammen's NPI number?

The NPI number for Mark Mammen is 1558800250. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Mark Mammen located?

Mark Mammen practices at 1806 N Market St, Champaign, IL 61822. The listed phone number is (217) 356-4920.

What is Mark Mammen'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 Mark Mammen was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.