Organization
ATHLETICO, LTD.
Active
Other names
Athletico Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (CREDENTIALING MANAGER)
(630) 575-1980
Entity
Organization
Contact information
Practice address
460 W IRVING PARK RD STE G, BENSENVILLE, IL 60106-2178
(630) 948-5665
(630) 884-0104
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
060-005437
IL
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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