SIDNEY DREYER MS, ATC – NPI #1639530603
Preventive Medicine

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

SIDNEY DREYER is a physician located in LAKE FOREST, IL. NPPES has assigned the NPI number 1639530603 to SIDNEY DREYER on March 17, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083S0010X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 10 years ago on Dec 08, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SIDNEY DREYER below.

NPI Profile for
SIDNEY DREYER

NPI Number
1639530603
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SIDNEY DREYER
Credentials
MS, ATC
Primary location
1920 FOOTBALL DR
LAKE FOREST, IL 60045-4829
Phone: (847) 739-5403 Fax:
Mailing address
1601 S CANDLESTICK WAY
WAUKEGAN, IL 60085-8670
Phone: (605) 759-5373 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083S0010X
- Preventive Medicine / Sports Medicine (Primary)
IL 096004152
2255A2300X
- Specialist/Technologist / Athletic Trainer
IL 096.004152

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.