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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: August 09, 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
Phone(630) 829-6154
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
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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

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAPIN WEHDE ATC
Student in an Organized Health Care Education/Training Program
5700 COLLEGE RD, ATHLETICS
LISLE, IL 60532
Dupage County (630) 335-7962
NICOLE REINHART
Specialist/Technologist (Athletic Trainer)
5700 COLLEGE RD
LISLE, IL 60532
Dupage County (309) 221-2518
NATHAN A VANRADEN ATC
Specialist/Technologist (Athletic Trainer)
5700 COLLEGE RD
LISLE, IL 60532
Dupage County (630) 829-6154
HOLISTICALLY DIVINE COUNSELING, LTD
Counselor (Professional)
5700 COLLEGE RD
LISLE, IL 60532
Dupage County (312) 668-0261
LINDA DANH-DO RDN, MCHES
Dietitian, Registered
5700 COLLEGE RD
LISLE, IL 60532
Dupage County (909) 520-8690
LAURA ELIZABETH KENTER M.S., A.T.C.
Specialist/Technologist (Athletic Trainer)
5700 COLLEGE RD, ATHLETIC TRAINING
LISLE, IL 60532
Dupage County (630) 829-6152
BENEDICTINE UNIVERSITY
Specialist/Technologist (Athletic Trainer)
5700 COLLEGE RD
LISLE, IL 60532
Dupage County (630) 829-6154
ISABELLA RAE KOENIG ATC
Specialist/Technologist (Athletic Trainer)
5700 COLLEGE RD
LISLE, IL 60532
Dupage County (630) 829-6154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benedictine University's NPI number?

The NPI number for Benedictine University is 1366072555. It was assigned to this organization in the NPPES registry on January 16, 2020. The provider is doing business as Benedictine Athletic Rehab.

Where is Benedictine University located?

Benedictine University is located at 5700 College Rd, Lisle, IL 60532. The listed phone number is (630) 829-6154.

What is Benedictine University's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Benedictine University was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.