Organization
ATHLETICO LTD
Active
Other names
Athletico Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (DIRECTOR, CREDENTIALING)
(630) 575-1980
Entity
Organization
Contact information
Practice address
4749 S 76TH ST, GREENFIELD, WI 53220-4301
(414) 281-1380
(414) 281-1381
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/18/2013
Last updated
04/17/2026
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