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

Mr. Michael James Guddendorf, ATC

Individual provider Athletic Trainer · NPI 1821619768

Mr. Michael James Guddendorf, ATC is an Athletic Trainer in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2122 N 27th St
Decatur, IL 62526-2191
Phone: (217) 876-4249
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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 096004843 (IL)

Record details

NPI number1821619768
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedMay 1, 2020
Last updated in NPPESMay 1, 2020
Certification dateMay 1, 2020

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