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

Individual provider Athletic Trainer · NPI 1326393190

Jonathan Dwain Wiezorek, ATC is an Athletic Trainer in Chatham, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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

611 Willows Ave
Chatham, IL 62629-1717
Phone: (217) 415-5806
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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 096002447 (IL)

Record details

NPI number1326393190
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 18, 2012
Last updated in NPPESJuly 18, 2012

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