Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Alexander Black, ATC

Individual provider Athletic Trainer · NPI 1699751396

Benjamin Alexander Black, ATC is an Athletic Trainer in Willow Brook, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

207 63rd St Athletico
Willow Brook, IL 60527-2147
Phone: (630) 230-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 96002214 (IL)

Record details

NPI number1699751396
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedDecember 15, 2005
Last updated in NPPESJuly 13, 2026

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