Organization
ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE WATKINS (DIRECTOR OF CREDENTIALING)
(630) 296-2222
Entity
Organization
Contact information
Practice address
1296 W BOUGHTON RD, BOLINGBROOK, IL 60490-1554
(630) 771-0850
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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