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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
23915 W MAIN ST, SUITES A&B, PLAINFIELD, IL 60544-1967
(815) 609-0570
(815) 609-1026
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
0472032
BLUE CROSS BLUE SHIELD
IL
01
610238900
DEPARTMENT OF LABOR PROVIDER NUMBER
IL
01
7626661
AETNA
IL
Enumeration date
08/31/2006
Last updated
04/07/2011
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