Sports Medicine

LBN: Northern Illinois University
Sports Medicine is an health care organization with primary practice located at 1525 W Lincoln Hwy Suite 170-Niu Athletic Training, Dekalb IL 60115-3989. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Northern Illinois University can be contacted via phone (815) 753-0211, or through Voorhis, Phillip Edward via phone (815) 753-0211.

Contact Information

Primary practice address
1525 W Lincoln Hwy Suite 170-Niu Athletic Training Dekalb IL 60115-3989
Fax: (815) 753-1402
Website:
Authorized official contact:
Name: Voorhis, Phillip Edward Athletic Trainer, Certified (ATC)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 096000344 Illinois

Profile Details

NPI number 1780990051
LBN Legal business name Northern Illinois University
DBA Doing business as Sports Medicine
Authorized official Voorhis, Phillip Edward Athletic Trainer, Certified (ATC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2010
Last updated Aug 25th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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