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

Mr. Jay Patrick Anderson, ATC

Individual provider Athletic Trainer · NPI 1306828645

Mr. Jay Patrick Anderson, ATC is an Athletic Trainer in Elgin, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

1151 N State St
Elgin, IL 60123-1404
Phone: (847) 628-1592
Fax: (847) 628-1591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 96000601 (IL)

Record details

NPI number1306828645
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 14, 2005
Last updated in NPPESJuly 13, 2026
Mailing address357 Corrine Ave, Crystal Lake, IL 60014-5161

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