Organization
ATHLETICO, LTD.
Active
Other names
Athletico Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (CREDENTIALING MANAGER)
(630) 575-1980
Entity
Organization
Contact information
Practice address
405 E NORTH AVE, LOMBARD, IL 60148-1325
(630) 883-4640
(630) 576-1622
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
060005437
IL
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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