Northwestern University Intercollegiate Sports Medicine

LBN: Northwestern University Intercollegiate Sports Medicine
Northwestern University Intercollegiate Sports Medicine is an health care organization with primary practice located at 2703 Ashland Ave Northwestern University Sports Medicine, Evanston IL 60208-0001. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Northwestern University Intercollegiate Sports Medicine can be contacted via phone (847) 467-6791, or through Krantz, Lisa via phone (847) 467-6791.

Contact Information

Primary practice address
2703 Ashland Ave Northwestern University Sports Medicine Evanston IL 60208-0001
Phone: (847) 467-6791
Fax: (847) 491-8865
Website:
Map and Directions
Authorized official contact:
Name: Krantz, Lisa PT, ATC
Phone: (847) 467-6791

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1750612115
LBN Legal business name Northwestern University Intercollegiate Sports Medicine
DBA Doing business as
Authorized official Krantz, Lisa PT, ATC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2010
Last updated Apr 21st, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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