Northwestern University Intercollegiate Sports Medicine

NPI #1750612115 in Evanston, Illinois

Provider Information

NPI Number
1750612115
Entity Type
Organization
Organization Name
Northwestern University Intercollegiate Sports Medicine
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jan 26, 2010
Last Updated
Apr 21, 2011

Practice Location

Address
2703 ASHLAND AVE
Address 2
NORTHWESTERN UNIVERSITY SPORTS MEDICINE
ZIP Code
60208-0001
Phone
(847) 467-6791

Authorized Official

Name
LISA KRANTZ, PT, ATC
Title
REHABILITATION COORDINATOR
Phone
(847) 467-6791

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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