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

Benedictine University

Organization Sports Medicine (Family Medicine) Physician · NPI 1366072555

Benedictine University is a Sports Medicine (Family Medicine) Physician in Lisle, Illinois. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

5700 College Rd
Lisle, IL 60532-2851
Phone: (630) 829-6154
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1366072555
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Vanraden — Assistant Ad/Head Athletic Trainer · (630) 829-6154
Other names Benedictine Athletic Rehab
NPI enumeratedJanuary 16, 2020
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address5700 College Rd, Lisle, IL 60532-2851