Nathan A. Vanraden, ATC

Athletic Trainer · Lisle, IL

Individual Active NPI

NPI number 1467753574

Practice location

5700 College Rd
Lisle, IL 60532-0900
Phone
(630) 829-6154
Fax
(630) 839-3696

Open in Google Maps

NPI record

NPI
1467753574
Entity type
Individual (Type 1)
Enumeration date
November 4, 2010
Last updated
January 7, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096.002607 IL

Mailing address

14421 W Melbourne Pl
Lockport, IL 60441-6016

Other practice locations (1)

  • 17837 80th Ave, Tinley Park, IL 60477-5023 · (708) 342-2500

About Nathan Vanraden

Nathan A. Vanraden, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 5700 College Rd, Lisle, IL 60532-0900. The NPI number 1467753574 was assigned on November 4, 2010 and the record was last updated on January 7, 2019.

Nathan Vanraden lists a license in the registry: #096.002607 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nathan A. Vanraden, ATC?

The NPI number is 1467753574.

What is the phone number of Nathan Vanraden?

The phone number listed for the practice location is (630) 829-6154.

Where is Nathan Vanraden located?

5700 College Rd, Lisle, IL 60532-0900.

What is the taxonomy code for Nathan Vanraden?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Athletic Trainer providers in Lisle

All Athletic Trainer providers in Lisle, IL →