BENEDICTINE UNIVERSITY
NPI 1366072555
Family Medicine - Sports Medicine in Lisle, IL

Active since January 16, 2020
5700 COLLEGE RD, LISLE, IL 60532(630) 829-6154 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2025, Jan 16, 2020 (2 updates tracked since 2020).

About Benedictine University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENEDICTINE UNIVERSITY (NPI 1366072555), doing business as Benedictine Athletic Rehab, is a healthcare organization registered as a sports medicine in Lisle, Illinois and active in the NPI registry since January 2020. The organization lists Nathan Vanraden, Assistant Ad/head Athletic Trainer, as its authorized official.

NPPES Registry Identity

NPI1366072555
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameBENEDICTINE UNIVERSITY
Location Address5700 COLLEGE RDLisle, IL 60532-2851
Mailing Address5700 College RdLisle, IL 60532-2851
Organization SubpartNo
Authorized OfficialNathan VanradenAssistant Ad/head Athletic Trainer · (630) 829-6154
Enumeration DateJanuary 16, 2020
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1366072555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

5700 COLLEGE RD, Lisle, IL 60532

Other Names 1

Doing Business AsBenedictine Athletic Rehab

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
5700 COLLEGE RD
LISLE, IL 60532
Student in an Organized Health Care Education/Training Program
5700 COLLEGE RD, ATHLETICS
LISLE, IL 60532
Specialist/Technologist (Athletic Trainer)
5700 COLLEGE RD
LISLE, IL 60532
Specialist/Technologist (Athletic Trainer)
5700 COLLEGE RD
LISLE, IL 60532
Specialist/Technologist (Athletic Trainer)
5700 COLLEGE RD
LISLE, IL 60532
Specialist/Technologist (Athletic Trainer)
5700 COLLEGE RD
LISLE, IL 60532
Specialist/Technologist (Athletic Trainer)
5700 COLLEGE RD
LISLE, IL 60532
Dietitian, Registered
5700 COLLEGE RD
LISLE, IL 60532
Counselor (Professional)
5700 COLLEGE RD
LISLE, IL 60532
Counselor (Professional)
5700 COLLEGE RD
LISLE, IL 60532
Specialist/Technologist (Athletic Trainer)
5700 COLLEGE RD, ATHLETIC TRAINING
LISLE, IL 60532

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366072555, enumerated as an "organization" on January 16, 2020.

The provider is located at 5700 COLLEGE RD LISLE, IL 60532 and the phone number is (630) 829-6154.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.