Organization
ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
Active
Other names
Athletic and Therapeutic Institute of Winfield
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BOGOVICH (CFO)
(630) 296-2222
Entity
Organization
Contact information
Practice address
0 SOUTH 050 WINFIELD ROAD, SUITE 120, WINFIELD, IL 60190
(630) 653-4743
(630) 653-4912
Mailing address
4947 PAYSHPERE CIRCEL, CHICAGO, IL 60674-0001
(630) 296-2222
(630) 759-6106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
356148902
DEPARTMENT OF LABOR PROVIDER NUMBER
IL
Enumeration date
12/22/2006
Last updated
03/04/2009
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