OrganizationActive
Benedictine University
NPI 1366072555 · Sports Medicine (Family Medicine) Physician · Lisle, IL
Provider details
- NPI number
- 1366072555
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Nathan Vanraden, Assistant Ad/Head Athletic Trainer
Mailing address
5700 College Rd
Lisle, IL 60532-2851
Registry dates
- Enumerated
- 2020-01-16
- Last updated
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.