Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Humberto Medina Jr., ATC, LMT

Individual provider Athletic Trainer · NPI 1366800476

Humberto Medina Jr., ATC, LMT is an Athletic Trainer in South Elgin, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

721 Hobart Dr Unit A
South Elgin, IL 60177-3082
Phone: (630) 508-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227.014634 (IL)
Athletic Trainer Taxonomy 2255A2300X · Licence 096.001490 (IL)

Record details

NPI number1366800476
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LMT
Sole proprietorYes
NPI enumeratedFebruary 3, 2016
Last updated in NPPESFebruary 3, 2016

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