IndividualActive
Alicia Mikulski, LAT, ATC
NPI 1629624754 · Athletic Trainer · Bourbonnais, IL
Provider details
- NPI number
- 1629624754
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% 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
1 University Ave
Bourbonnais, IL 60914-2345
Phone: (815) 928-5415
Street-level locationGet directions
Mailing address
1356 Winans Ave Apt 3
Bourbonnais, IL 60914-4748
Registry dates
- Enumerated
- 2019-08-14
- Last updated
- 2019-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.