Jack Stam
Athletic Trainer · Naperville, IL
NPI number
1265377030
Practice location
30 N Brainard StNaperville, IL 60540-4690
- Phone
- (630) 637-5100
NPI record
- NPI
- 1265377030
- Entity type
- Individual (Type 1)
- Enumeration date
- April 20, 2026
- Last updated
- April 20, 2026
- Certified
- April 20, 2026
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
Mailing address
1307 Mill Pond RdBourbonnais, IL 60914-1525
About Jack Stam
Jack Stam is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 30 N Brainard St, Naperville, IL 60540-4690. The NPI number 1265377030 was assigned on April 20, 2026 and the record was last updated on April 20, 2026.
Frequently asked questions
What is the NPI number of Jack Stam?
The NPI number is 1265377030.
What is the phone number of Jack Stam?
The phone number listed for the practice location is (630) 637-5100.
Where is Jack Stam located?
30 N Brainard St, Naperville, IL 60540-4690.
What is the taxonomy code for Jack Stam?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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