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Active NPI 1265377030 Individual Practitioner Male Practitioner

Jack Stam

Specialist/Technologist - Athletic Trainer • Naperville, IL

Professional Overview & Biography Verified Profile Summary

Jack Stam is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Naperville, IL. Practice services are available at 30 N BRAINARD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30 N Brainard St

Naperville, IL 605404690

Telephone 6306375100

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Naperville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Naperville, IL (1955 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-20
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Angela Austin

Student in an Organized Health Care Education/Training Program

NPI 1093108128
Emily Miehlke

Student in an Organized Health Care Education/Training Program

NPI 1134842578
Liam Tran

Physician Assistant

NPI 1225832108
Phoebe Farrow , BSN, RN, MSN, FNP-C

Nurse Practitioner - Family

NPI 1558298182

Bachelor of Science in Nursing, Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner (Certified)

Shota Sato

Student in an Organized Health Care Education/Training Program

NPI 1588144471
Kayla Pisauro

Student in an Organized Health Care Education/Training Program

NPI 1588145239

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 20, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2026

Registered at 30 N BRAINARD ST, NAPERVILLE, IL 605404690 (Tel: 6306375100)

📍
Updated Business Mailing Address April 20, 2026

Registered at 1307 MILL POND RD, BOURBONNAIS, IL 609141525

👤
Provider Name / Credentials Updated April 20, 2026

Recorded as JACK STAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2026

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration April 20, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265377030
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2026
Last Update: April 20, 2026
Sole Proprietor: Yes

Mailing Address

1307 Mill Pond Rd

Bourbonnais, IL 609141525

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.