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

Jessica Caracciolo

Individual provider Athletic Trainer · NPI 1356741458

Jessica Caracciolo is an Athletic Trainer in Great Lakes, Illinois. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

4122 Shark Ct Apt A
Great Lakes, IL 60088-1142
Phone: (805) 750-3323
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 number1356741458
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2014
Last updated in NPPESAugust 26, 2014
Mailing address4122 Shark Ct Apt A, Great Lakes, IL 60088-1142