IndividualActive
Matthew Sierzega, ATC, LAT, MS
NPI 1043043094 · Athletic Trainer · Johnsburg, IL
Provider details
- NPI number
- 1043043094
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT, MS
- Sex
- Male
- Sole proprietor
- No
- License
- 096.005836 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2220 Church St
Johnsburg, IL 60051-5910
Phone: (224) 246-1021
Approximate (ZIP-level) locationGet directions
Mailing address
2101 N Shore Dr
Delavan, WI 53115-3816
Registry dates
- Enumerated
- 2024-08-24
- Last updated
- 2024-08-24
- Certified
- 2024-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.