Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY C WISNIEWSKI ATC
NPI 1881662229
Specialist/Technologist - Athletic Trainer in Chicago, IL

Q: What is Mary Wisniewski's NPI number?

The NPI number for Mary Wisniewski is 1881662229. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Q: What is Mary Wisniewski'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 Mary Wisniewski was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.

Active since March 10, 2006

5530 S ELLIS AVE, CHICAGO, IL 60637(773) 753-4708(773) 834-4470 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary C Wisniewski Atc NPPES

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

MARY C WISNIEWSKI ATC (NPI 1881662229) is an individual athletic trainer provider in Chicago, Illinois and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1881662229

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMARY C WISNIEWSKICredential: ATC

Location Address5530 S ELLIS AVEChicago, IL 60637-1402

Mailing Address5457 S Kenwood AveChicago, IL 60615-5312 · (773) 288-0612

Phone(773) 753-4708

Fax(773) 834-4470

Sole ProprietorNo

Enumeration DateMarch 10, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1881662229 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.

5530 S ELLIS AVE, Chicago, IL 60637

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Other Providers at the Same Location NPPES 8

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

MR. GREGORY BRIAN NORDLUND M.ED., ATC