Organization
ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE A MEYER (VP CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization
Contact information
Practice address
2534 E LINCOLN HWY, NEW LENOX, IL 60451-9712
(815) 462-9420
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
06/20/2024
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