ATHLETIC EDGE AND WELLNESS NPI 1841930351

NPI Information

  • NPI: 1841930351
  • Provider Name: ATHLETIC EDGE AND WELLNESS
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 1541 SOUTHRIDGE TRL
    ALGONQUIN, IL
    ZIP 60102
  • Phone: (847) 987-0438

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NPI Details

ATHLETIC EDGE AND WELLNESS is a sports medicine physical medicine rehabilitation in Algonquin, IL. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. ATHLETIC EDGE AND WELLNESS NPI is 1841930351. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1541 SOUTHRIDGE TRL
ALGONQUIN, IL
ZIP 60102-602
Phone: (847) 987-0438

The provider's authorized official is Kathleen A Ryan-ceisel .
The authorized official title is Owner and has the following contact phone number (224) 505-3343.

The enumeration date for this NPI number is 3/31/2022 and was last updated on 3/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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