Organization · Type 2 NPI

Northern Illinois University

Sports Medicine (Family Medicine) Physician · Dekalb, IL

NPI number 1700332392 Active

Practice location

1525 W Lincoln Hwy
Dekalb, IL 60115-3989

Call (815) 753-0211 Map

Mailing address

1525 W Lincoln Hwy Ste 170
Dekalb, IL 60115-3989

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010X036.08668 (IL)

Sports Medicine (Family Medicine) Physician: 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, biomecha…

12 other providers at this address

About NPI 1700332392

Northern Illinois University's National Provider Identifier is 1700332392, issued on Sep 1, 2016. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Dekalb, IL. The record was last updated on Apr 7, 2026.