NPPES file of Aug 9, 2026

Timothy Desmond Mizdrak, ATC, LAT

Athletic Trainer · Chicago, IL

Timothy Desmond Mizdrak, ATC, LAT is an athletic trainer with a practice address in Chicago, Illinois, and NPI 1104399856, issued on Jan 5, 2019. Check the license (Illinois 096.004715, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104399856
Name
Timothy Desmond Mizdrak
Credential
ATC, LAT
Primary taxonomy
Athletic Trainer 2255A2300X
License number
096.004715 IL
Self-reported in NPPES; status is on the state search
Practice location
1133 S State St # B500, Chicago, IL 60605
Phone
(847) 894-6221
Enumerated
Jan 5, 2019
Record last updated
Jan 5, 2019 (not updated in 7 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Timothy Desmond Mizdrak in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 096.004715    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Athletic Trainer providers in Illinois

There are 1,930 athletic trainer records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 1,930 in Illinois → Every provider in Chicago →

Other athletic trainer records in Illinois

  1. Andrew Accardi, A.T.C/LDixon, IL1750359592
  2. Kasey Acito, LAT, ATCBolingbrook, IL1841640745
  3. Steven Adamkiewicz, M.S.,ATC/LLombard, IL1326058686
  4. Kaitlin Adams, ATCCaledonia, IL1760807937
  5. Laura Addy, ATCEvanston, IL1497111769
  6. Jason Adolph, MS, LAT ATCShorewood, IL1255390266
  7. Aristidis Adrahtas, ATC, MSChicago, IL1962038604
  8. Inga AgibalovaNorthbrook, IL1255099610
  9. Rauqelle Ahlfeld, ATCGlenview, IL1508253170
  10. Melanie AhlgrimChicago, IL1538136593

Common questions

What is Timothy Desmond Mizdrak, ATC, LAT's NPI number?

Timothy Desmond Mizdrak, ATC, LAT's National Provider Identifier (NPI) is 1104399856, issued on Jan 5, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Timothy Desmond Mizdrak, ATC, LAT located?

The NPPES record lists a practice address at 1133 S State St # B500, Chicago, IL, 60605. Phone: (847) 894-6221. Providers update this record themselves, so call before visiting.

How can I verify Timothy Desmond Mizdrak, ATC, LAT's license?

NPPES lists Illinois license number 096.004715, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.