Brian Oudsteyn
Specialist/Technologist, Athletic Trainer in Joliet, IL. Individual provider (NPI-1).
NPI number1699136283
StatusActive
Last updated in NPPESMar 10, 2016
Details
- NPI
- 1699136283
- Entity type
- Individual (NPI-1)
- Name
- Brian Oudsteyn
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2016
- Last updated
- Mar 10, 2016
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 | 096002534 | IL | Yes |
Practice location
2320 W Jefferson StJoliet, IL 60435-6427
Phone 815-741-3758 · Fax 815-741-3974
Mailing address
790 Remington BlvdBolingbrook, IL 60440-4909
Phone 630-296-2222
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 21 Athletic Trainer providers in Joliet · All 2,927 providers in Joliet
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