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Northern Illinois University — NPI 1700332392, Dekalb, IL | NPI Central

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NPI 1700332392

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Northern Illinois University

NPI 1700332392 · Sports Medicine (Family Medicine) Physician · Dekalb, IL

Provider details

NPI number: 1700332392
Entity type: Organization
Primary specialty: Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Phil Voorhis, Associate Athletic Director(815) 753-0211
License: 036.08668 (IL)

Specialties & taxonomies

Sports Medicine (Family Medicine) PhysicianPrimary207QS0010XLicense 036.08668 (IL)
Allopathic & Osteopathic Physicians

Practice location

1525 W Lincoln Hwy

Dekalb, IL 60115-3989

Phone: (815) 753-0211

Approximate (ZIP-level) locationGet directions

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Mailing address

1525 W Lincoln Hwy Ste 170

Dekalb, IL 60115-3989

Other names (DBA / former)

Doing business as: Northern Illinois University Sports Medicine

Registry dates

Enumerated: 2016-09-01
Last updated: 2026-04-07
Certified: 2026-04-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.