Organization
NORTHERN ILLINOIS UNIVERSITY
Active
Other names
Northern Illinois University Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL VOORHIS LAT MSED. (ASSOCIATE ATHLETIC DIRECTOR)
(815) 753-0211
Entity
Organization
Contact information
Practice address
1525 W LINCOLN HWY, DEKALB, IL 60115-3989
(815) 753-0211
Mailing address
1525 W LINCOLN HWY STE 170, DEKALB, IL 60115-3989
(815) 753-0211
(815) 753-2415
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036.08668
IL
208000000X
Pediatrics Physician
Primary
036.08668
IL
Other
Enumeration date
09/01/2016
Last updated
04/07/2026
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