Organization
BENEDICTINE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MCHORNEY (ATHLETIC DIRECTOR)
(630) 829-6150
Entity
Organization
Contact information
Practice address
5700 COLLEGE RD, LISLE, IL 60532-0900
(630) 829-6154
Mailing address
5700 COLLEGE RD, LISLE, IL 60532-0900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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