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NPISignal

Individual Healthcare Provider

Sidney Dreyer, MS, ATC

NPI Record: ActivePreventive Medicine — Sports Medicine
NPI1639530603
Lake Forest, Illinois

Provider's NPPES record last updated: December 8, 2016

Overview

Entity Type
Individual Healthcare Provider
NPI
1639530603
Primary Specialty
Preventive Medicine — Sports Medicine
Practice Location
Lake Forest, Illinois
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 11:16 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Preventive Medicine

    Sports Medicine

    Allopathic & Osteopathic Physicians

    Primary

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

    Taxonomy code 2083S0010X
  • Specialist/Technologist

    Athletic Trainer

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    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.

    Taxonomy code 2255A2300X

Provider-Reported License Information

Preventive Medicine (Illinois)
096004152
Specialist/Technologist (Illinois)
096.004152
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1920 Football Dr

Lake Forest, Illinois 60045-4829

Phone: (847) 739-5403

Record Information

Enumeration Date
March 17, 2016
Provider's NPPES Record Last Updated
December 8, 2016
NPISignal NPPES Dataset
August 2026

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