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Organization
BENEDICTINE UNIVERSITY
Active
Organization
BENEDICTINE UNIVERSITY
Active
Other names
Benedictine Athletic Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN VANRADEN ATC (ASSISTANT AD/HEAD ATHLETIC TRAINER)
(630) 829-6154
Entity
Organization
Contact information
Practice address
5700 COLLEGE RD, LISLE, IL 60532-2851
(630) 829-6154
Mailing address
5700 COLLEGE RD, LISLE, IL 60532-2851
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
12/11/2025
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