Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robert Anthony Smith, MLD, LAT, ATC

Individual provider Athletic Trainer · NPI 1356817845

Robert Anthony Smith, MLD, LAT, ATC is an Athletic Trainer in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5530 S Ellis Ave
Chicago, IL 60637-1402
Phone: (773) 702-3882
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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 096004083 (IL)

Record details

NPI number1356817845
Entity typeIndividual (Type 1)
GenderMale
Credentials MLD , LAT , ATC
Sole proprietorYes
NPI enumeratedOctober 23, 2018
Last updated in NPPESOctober 23, 2018
Mailing address5530 S Ellis Ave, Chicago, IL 60637-1402

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