Organization
ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE A MEYER (VP CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization
Contact information
Practice address
1000 ELEVEN S STE 1B, COLUMBIA, IL 62236-1078
(618) 281-9699
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
12/31/2025
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