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Active NPI 1699751396 Individual Practitioner Male Practitioner

Benjamin Alexander Black , ATC

Specialist/Technologist - Athletic Trainer • Willow Brook, IL

Professional Overview & Biography Verified Profile Summary

Benjamin Black, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Willow Brook, IL. Practice services are available at 207 63RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

207 63rd St
Athletico

Willow Brook, IL 605272147

Telephone 6302300900
Associated Practice Facility / Clinic
🏢 Athletico Ltd Facility NPI 1841406659

Specialty Benchmarks & Practice Insights

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

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

Practicing in Willow Brook, 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

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IL 96002214

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

13 Associated Practitioners
Stephanie La Camera , PTA

Physical Therapy Assistant

NPI 1174563415

Physical Therapist Assistant

Dr. Katherine Jones , DPT

Physical Therapist

NPI 1205092616

Doctor of Physical Therapy

Dr. Garrett Taylor , DPT

Physical Therapist

NPI 1255092227

Doctor of Physical Therapy

Jennifer Gallwas , MPT

Physical Therapist

NPI 1255476552

Master of Physical Therapy

Dr. Aayush Shah , DPT

Physical Therapist

NPI 1437751948

Doctor of Physical Therapy

Jennifer Hong , PT

Physical Therapist

NPI 1497052484

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 207 63RD ST, ATHLETICO, WILLOW BROOK, IL 605272147 (Tel: 6302300900)

📍
Updated Business Mailing Address July 08, 2007

Registered at 220 LINCOLN OAKS DR, APT. 1413, WILLOW BROOK, IL 605273271 (Tel: 6307688556)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BENJAMIN BLACK, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist (License #96002214 in IL)

🟢
Initial NPI Registration & Enumeration December 15, 2005

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: 1699751396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

220 Lincoln Oaks Dr, Apt. 1413

Willow Brook, IL 605273271

Phone: 6307688556

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.