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

Raymond Jerome Stadt, ATC

Individual provider Athletic Trainer · NPI 1164435657

Raymond Jerome Stadt, ATC is an Athletic Trainer in Blue Island, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
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

12700 Sacramento Ave
Blue Island, IL 60406-1822
Phone: (708) 597-6300
Fax: (708) 597-6386
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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 number1164435657
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 14, 2006
Last updated in NPPESJuly 8, 2007

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