Individual
EMILY HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1205 DORCHESTER DR, MUNDELEIN, IL 60060-1038
(847) 321-0672
Mailing address
1205 DORCHESTER DR, MUNDELEIN, IL 60060-1038
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
2255A2300X
Athletic Trainer
096.005813
IL
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000053383
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
—
01
—
4606-1103-0528
NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS
—
Enumeration date
01/02/2022
Last updated
05/01/2026
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