Brian Joesph Conroy, ATC
Specialist/Technologist, Athletic Trainer in Tinley Park, IL. Individual provider (NPI-1).
NPI number1457521171
StatusActive
Last updated in NPPESOct 15, 2010
Details
- NPI
- 1457521171
- Entity type
- Individual (NPI-1)
- Name
- Brian Joesph Conroy
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2008
- Last updated
- Oct 15, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096.002503 | IL | Yes |
Practice location
16651 Harlem AveTinley Park, IL 60477-2895
Phone 708-444-2467
Mailing address
790 Remington BlvdBolingbrook, IL 60440-4909
Phone 630-296-2223
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Athletic Trainer providers in Tinley Park · All 1,674 providers in Tinley Park
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