# ATHLETICO LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ATHLETICO PHYSICAL THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811409030
- **Authorized official:** GERI COOK (VP OF BILLING OPERATIONS)
- **Authorized official phone:** (630) 575-1980

## Contact information

- **Practice address:** 819 W BLACKHAWK ST, STE 819B, CHICAGO, IL 60642
- **Practice address phone:** (312) 376-8801
- **Practice address fax:** (312) 376-8802
- **Mailing address:** 625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
- **Mailing address phone:** (630) 575-1980
- **Mailing address fax:** (630) 928-5040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2017
- **Last updated:** 10/27/2017