Organization
ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
Active
Other names
ATI Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization
Contact information
Practice address
4511 STATE ROUTE 71, OSWEGO, IL 60543-7416
(630) 554-7815
(630) 554-4849
Mailing address
4947 PAYSPHERE CIR, CHICAGO, IL 60674-0049
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04732021
BLUE CROSS BLUE SHIELD
IL
01
—
611827600
DEPARTMENT OF LABOR PROVIDER NUMBER
IL
01
—
7400622
AETNA
IL
Enumeration date
08/31/2006
Last updated
04/07/2011
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