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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
6560 W FULLERTON AVE, CHICAGO, IL 60707-3439
(773) 745-0338
(773) 745-0682
Mailing address
4947 PAYSPHERE CIR, CHICAGO, IL 60674-0049
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
610078603
DEPARTMENT OF LABOR PROVIDER NUMBER
IL
Enumeration date
06/06/2007
Last updated
04/07/2011
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