Organization
ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
Active
Other names
ATI Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
WADE A MEYER (VP CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization
Contact information
Practice address
9645 S WESTERN AVE, CHICAGO, IL 60643-1722
(773) 239-2734
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
—
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6446220001
NSC DME
IL
Enumeration date
03/01/2010
Last updated
04/30/2024
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