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

Mr. Denny Wongosari, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1649604737

Mr. Denny Wongosari, MS, LAT, ATC is an Athletic Trainer in Deerfield, Illinois. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2065 Half Day Rd
Deerfield, IL 60015-1241
Phone: (847) 317-7116
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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 36002131A (IN)

Record details

NPI number1649604737
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedAugust 26, 2013
Last updated in NPPESJuly 18, 2015

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