| Benedictine Athletic Rehab | |
|
5700 College Rd Lisle IL 60532-2851 | |
| (630) 829-6154 | |
| Not Available |
| Full Name | Benedictine Athletic Rehab |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 5700 College Rd, Lisle, Illinois |
| Authorized Official Name and Position | Nathan Vanraden (ASSISTANT AD/HEAD ATHLETIC TRAINER) |
| Authorized Official Contact | 6308296154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benedictine Athletic Rehab 5700 College Rd Lisle IL 60532-2851 | Benedictine Athletic Rehab 5700 College Rd Lisle IL 60532-2851 Ph: (630) 829-6154 |
| NPI Number | 1366072555 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 12/11/2025 |
| Certification Date | 12/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366072555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | () | Primary |
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