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Organization

ATHLETIC & THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC

Active
Other names
ATI Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
(630) 296-2223
Entity
Organization

Contact information

Practice address
12052 SOUTH CICERO AVENUE, ALSIP, IL 60803-2313
(708) 489-9940
(708) 489-9961
Mailing address
4947 PAYSPHERE CIR, CHICAGO, IL 60674-0049

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
356148919
DEPT OF LABOR
IL
Enumeration date
10/31/2008
Last updated
11/03/2009
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