Organization
NORTHWESTERN UNIVERSITY INTERCOLLEGIATE SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KRANTZ PT, ATC (REHABILITATION COORDINATOR)
(847) 467-6791
Entity
Organization
Contact information
Practice address
2703 ASHLAND AVE, NORTHWESTERN UNIVERSITY SPORTS MEDICINE, EVANSTON, IL 60208-0001
(847) 467-6791
(847) 491-8865
Mailing address
2703 ASHLAND AVE, NORTHWESTERN UNIVERSITY SPORTS MEDICINE, EVANSTON, IL 60208-0001
(847) 467-6791
(847) 491-8865
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2010
Last updated
04/21/2011
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