Organization
ATHLETICO LTD
Active
Other names
Athletico Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (CREDENTILAING MANAGER)
(630) 575-1980
Entity
Organization
Contact information
Practice address
2900 W PETERSON AVE, CHICAGO, IL 60659-3818
(773) 596-5484
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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