BENJAMIN ALEXANDER BLACK ATC - NPI 1699751396 - Specialist/Technologist in Willow Brook, IL

Q: What is Benjamin Black's NPI number?

The NPI number for Benjamin Black is 1699751396. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Q: What is Benjamin Black's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Benjamin Black was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Benjamin Alexander Black Atc NPPES

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

BENJAMIN ALEXANDER BLACK ATC (NPI 1699751396) is an individual athletic trainer provider in Willow Brook, Illinois, licensed in Illinois (96002214) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1699751396

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameBENJAMIN ALEXANDER BLACKCredential: ATC

Location Address207 63RD ST, ATHLETICOWillow Brook, IL 60527-2147

Mailing Address220 Lincoln Oaks Dr, Apt. 1413Willow Brook, IL 60527-3271 · (630) 768-8556

Phone(630) 230-0900

Sole ProprietorNo

Enumeration DateDecember 15, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1699751396 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 · 96002214

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.

207 63RD ST, Willow Brook, IL 60527

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