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

Jack Stam

Individual provider Athletic Trainer · NPI 1265377030

Jack Stam is an Athletic Trainer in Naperville, Illinois. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

30 N Brainard St
Naperville, IL 60540-4690
Phone: (630) 637-5100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1265377030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address1307 Mill Pond Rd, Bourbonnais, IL 60914-1525

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