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Organization

ATHLETIC & THERAPEUTIC INSTITUTE OF MILWAUKEE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN MCGIVERN (COO)
(630) 296-2222
Entity
Organization

Contact information

Practice address
11450 WEST BURLEIGH ST, SUITE 120, WAUWATOSA, WI 53222-3216
(414) 443-9862
(414) 443-9868
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
05/24/2018
Last updated
05/24/2018
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