NORTHWESTERN UNIVERSITY INTERCOLLEGIATE SPORTS MEDICINE (NPI# 1750612115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750612115 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN UNIVERSITY INTERCOLLEGIATE SPORTS MEDICINE |
| Practice Address |
2703 Ashland Ave Northwestern University Sports Medicine Evanston IL 60208-0001 |
| Practice Telephone | 8474676791 |
| Practice Fax Number | 8474918865 |
| Mailing Telephone | 8474676791 |
| Mailing Fax Number | 8474918865 |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2011-04-21 |
| Authorized Official Name | LISA KRANTZ (REHABILITATION COORDINATOR) |
| Authorized Official Telephone | 8474676791 |
| Authorized Official Credential | PT, ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
2703 ASHLAND AVE NORTHWESTERN UNIVERSITY SPORTS MEDICINE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60208-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437128089 | Courtney Jones | Specialist/Technologist | 1501 Central St., Evanston, IL 60208 | 2006-03-16 |
| 1467456004 | Bridget A Hannum | Nurse Practitioner | Northwestern University 633 Emerson, Evanston, IL 60208 | 2005-06-10 |
| 1891947727 | Catherine Anne Fabian | Audiologist | 2315 Campus Dr, Evanston, IL 60208 | 2008-10-22 |
| 1417487471 | Jack Scott | Audiologist | 2315 Campus Drive Nucasll, Evanston, IL 60208-0001 | 2017-06-13 |
| 1588038699 | Robin Lynn Dodds | Developmental Therapist | Center for Audiology Speech Language And, Northwestern University 2315 Campus Drive, Evanston, IL 60208-0001 | 2015-12-01 |
| 1831565936 | Natalie Morales | Specialist/Technologist | 2255 Campus Drive, Evanston, IL 60208-0001 | 2015-08-12 |
| 1609927417 | Kimberly A Seipel-carrow | Pediatrics | Northwestern University Health Services, 633 Emerson, Evanston, IL 60208-0001 | 2007-01-16 |
| 1114551793 | Peter Ritz | 2255 Campus Drive, Evanston, IL 60208-0001 | 2020-02-24 | |
| 1912395336 | Susan Taber Mulhern | Speech-Language Pathologist | 2315 Campus Dr, Evanston, IL 60208-0001 | 2015-01-07 |
| 1669879888 | Romero Rayne Huffstead | Student in an Organized Health Care Education/Training Program | Counseling and Psychological Services, Northwestern University, Evanston, IL 60208-0001 | 2014-12-03 |
| Find all providers in zip 60208 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1598942971 | Elizabeth Hart, M.p.t. & Associates, P.C. | Clinic/Center | 1618 Orrington Ave Ste 322, Evanston, IL 60201-5060 | 2008-01-28 |
| 1780157438 | Integrated Physical Therapy and Yoga LLC | Clinic/Center | 1818 Dempster St, Evanston, IL 60202-1003 | 2019-01-05 |
| 1982877718 | Rehabilitation Networks Inc. | Clinic/Center | 1713 Central St, Evanston, IL 60201-1507 | 2008-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.