Timothy Mizdrak, ATC, LAT
NPI 1104399856 · Athletic Trainer · Chicago, IL
Timothy Mizdrak, ATC, LAT is a Athletic Trainer provider in Chicago, IL (NPI 1104399856).
Provider details
- NPI number
- 1104399856
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
- License
- 096.004715 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-01-05
- Last updated
- 2019-01-05
Frequently asked questions
- What is Timothy Mizdrak's NPI number?
- Timothy Mizdrak's National Provider Identifier (NPI) is 1104399856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Mizdrak's specialty?
- Timothy Mizdrak is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Timothy Mizdrak located?
- Timothy Mizdrak's practice location on file with NPPES is 1133 S State St # B500, Chicago, IL 60605-2699.
- What is Timothy Mizdrak's phone number?
- The practice phone number listed in the NPPES registry for Timothy Mizdrak is (847) 894-6221.
- Is Timothy Mizdrak's NPI active?
- Yes — Timothy Mizdrak's NPI (1104399856) is active in the NPPES registry as of the last update on 2019-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.