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

Mr. Glen Dwayne Gerdes, MS, ATC

Individual provider Athletic Trainer · NPI 1205993227

Mr. Glen Dwayne Gerdes, MS, ATC is an Athletic Trainer in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone: (847) 990-5779
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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 number1205993227
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJuly 8, 2007

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