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

Mr. Sidney Joseph Anderson, NCCPT

Individual provider Athletic Trainer · NPI 1396526703

Mr. Sidney Joseph Anderson, NCCPT is an Athletic Trainer in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

1908 W Berteau Ave Apt 1
Chicago, IL 60613-6777
Phone: (312) 481-3342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1396526703
Entity typeIndividual (Type 1)
GenderMale
Credentials NCCPT
Sole proprietorYes
NPI enumeratedOctober 11, 2023
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

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