Mariellen Mardis, MAT
NPI 1700450665 · Athletic Trainer · Lake Bluff, IL
Mariellen Mardis, MAT is a Athletic Trainer provider in Lake Bluff, IL (NPI 1700450665).
Provider details
- NPI number
- 1700450665
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MAT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Athletic Trainer2255A2300X
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
5 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
Mailing address
Registry dates
- Enumerated
- 2021-05-16
- Last updated
- 2021-05-16
- Certified
- 2021-05-16
Frequently asked questions
- What is Mariellen Mardis's NPI number?
- Mariellen Mardis's National Provider Identifier (NPI) is 1700450665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mariellen Mardis's specialty?
- Mariellen Mardis is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mariellen Mardis located?
- Mariellen Mardis's practice location on file with NPPES is 30019 N Waukegan Rd Apt 103, Lake Bluff, IL 60044-1079.
- What is Mariellen Mardis's phone number?
- The practice phone number listed in the NPPES registry for Mariellen Mardis is (618) 980-0482.
- Is Mariellen Mardis's NPI active?
- Yes — Mariellen Mardis's NPI (1700450665) is active in the NPPES registry as of the last update on 2021-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.