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

Individual provider Athletic Trainer · NPI 1275598161

Michael Patrick Pendergast Sr., ATC is an Athletic Trainer in Macomb, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Partly verified

Some contact details are missing from the federal record.

Western Illinos University Athletic Dept One Univ Circle
Macomb, IL 61455
Phone: (309) 208-1253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (IL)

Record details

NPI number1275598161
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESJuly 13, 2026
Mailing address340 W Pierce St, Macomb, IL 61455-1443

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