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

Mr. Jerry Mark Bornhoff, ATC, LAT, CSCS

Individual provider Athletic Trainer · NPI 1578552782

Mr. Jerry Mark Bornhoff, ATC, LAT, CSCS is an Athletic Trainer in Park Ridge, 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.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1111 S Dee Rd
Park Ridge, IL 60068-4379
Phone: (847) 692-8246
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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 number1578552782
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT , CSCS
Sole proprietorNo
NPI enumeratedOctober 19, 2005
Last updated in NPPESJuly 13, 2026

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