SearchIllinois2255A2300X

Benjamin Black, ATC

NPI 1699751396 · on the registry since 2005

Practice

Address
207 63rd St
Athletico
Willow Brook, IL 60527
Phone
(630) 230-0900

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois