Northern Illinois University

Organization Sports Medicine (Family Medicine) Physician · NPI 1700332392

Northern Illinois University is a Sports Medicine (Family Medicine) Physician in Dekalb, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in: IL
In the registry since: 2016

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Practice location Address checks out

1525 W Lincoln Hwy
Dekalb, IL 60115-3989
Phone: (815) 753-0211

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary)	Taxonomy 207QS0010X · Licence 036.08668 (IL)

Record details

NPI number	1700332392
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Phil Voorhis — Associate Athletic Director · (815) 753-0211
Other names	Northern Illinois University Sports Medicine
NPI enumerated	September 1, 2016
Last updated in NPPES	April 7, 2026
Certification date	April 7, 2026
Mailing address	1525 W Lincoln Hwy Ste 170, Dekalb, IL 60115-3989