Organization
ATHLETIC &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)
63029622222
Entity
Organization
Contact information
Practice address
3082 CATON FARM RD, JOLIET, IL 60435-1455
(815) 577-9936
(815) 577-9938
Mailing address
4947 PAYSPHERE CIR, CHICAGO, IL 60674-0001
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932145
BLUE CROSS BLUE SHIELD
IL
01
—
610078700
DEPARTMENT OF LABOR PROVIDER NUMBER
IL
01
—
7379558
AETNA
IL
Enumeration date
08/23/2006
Last updated
05/05/2016
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