NPIMap

Organization Active NPI

Benedictine University

  • Athletic Trainer
  • Lisle, IL
National Provider Identifier
1710456199
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Legal business name
BENEDICTINE UNIVERSITY
Practice address
5700 College Rd
Lisle, IL 60532-0900
Phone
(630) 829-6154
NPI assigned
Nov 15, 2018
Last updated
Nov 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark McHorney
Title
Athletic Director
Phone
(630) 829-6150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X NU Primary

Addresses

Primary practice location

5700 College Rd
Lisle, IL 60532-0900

Mailing address

5700 College Rd
Lisle, IL 60532-0900

National Provider Directory

National Provider Directory
Tax ID family
Benedictine University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5700 College Rd
Lisle, IL 60532
Phone (630) 335-7962

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1710456199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 COLLEGE RD",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605320900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 COLLEGE RD",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605320900",
            "telephone_number": "630-829-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDICTINE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "MCHORNEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ATHLETIC DIRECTOR",
        "authorized_official_telephone_number": "630-829-6150"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.