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Organization

ATHLETIC AND 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) 296-2222
Entity
Organization

Contact information

Practice address
1 W RAND RD, UNIT A, MOUNT PROSPECT, IL 60056-1137
(847) 590-5241
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
356148969
DOL
IL
Enumeration date
02/20/2012
Last updated
04/10/2012
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