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

Nicole A Blackowicz, ATC

Individual provider Athletic Trainer · NPI 1740754183

Nicole A Blackowicz, ATC is an Athletic Trainer in Oak Brook, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
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

625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone: (715) 558-1268
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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 number1740754183
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedJanuary 18, 2019
Last updated in NPPESJanuary 18, 2019
Mailing address2300 Fieldcrest Dr, Mundelein, IL 60060-5352

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