Organization
ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE LLC
Active
Other names
ATI Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BOGOVICH (CFO)
(630) 296-2222
Entity
Organization
Contact information
Practice address
2320-2324 WEST JEFFERSON STREET, JOLIET, IL 60435
(815) 741-3758
(815) 741-3974
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
—
356148910
DEPARTMENT OF LABOR PROVIDER NUMBER
IL
Enumeration date
07/02/2008
Last updated
03/04/2009
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