Organization
ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
Active
Other names
Athletic & Therapeutic Institute of Naperville
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BOGOVICH (CFO)
(630) 296-2222
Entity
Organization
Contact information
Practice address
636 RAYMOND DR, SUITE 104A, NAPERVILLE, IL 60563-9789
(630) 355-5255
(630) 355-4089
Mailing address
4947 PAYSPHERE CIR, CHICAGO, IL 60674-0049
(630) 296-2222
(630) 759-6106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
356148901
DEPARTMENT OF LABOR PROVIDER NUMBER
IL
Enumeration date
06/08/2007
Last updated
03/04/2009
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