OrganizationActive
Athletic Edge and Wellness
NPI 1841930351 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Algonquin, IL
Provider details
- NPI number
- 1841930351
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathleen Ryan-Ceisel, Owner(224) 505-3343
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1541 Southridge Trl
Algonquin, IL 60102-6602
Phone: (847) 987-0438
Approximate (ZIP-level) locationGet directions
Mailing address
1541 Southridge Trl
Algonquin, IL 60102-6602
Registry dates
- Enumerated
- 2022-03-31
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.