Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Athletic Edge and Wellness

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1841930351

Athletic Edge and Wellness is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Algonquin, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1541 Southridge Trl
Algonquin, IL 60102-6602
Phone: (847) 987-0438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X

Record details

NPI number1841930351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Ryan-Ceisel — Owner · (224) 505-3343
NPI enumeratedMarch 31, 2022
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022
Mailing address1541 Southridge Trl, Algonquin, IL 60102-6602

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