Organization
ATHLETIC & THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
Active
Other names
ATI Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BOGOVICH (CFO)
(630) 296-2222
Entity
Organization
Contact information
Practice address
7511 LEMONT RD, SUITE 204, DARIEN, IL 60561-4394
(630) 985-4010
(630) 985-4056
Mailing address
4947 PAYSPHERE CIR, CHICAGO, IL 60674-0049
(630) 783-2001
(630) 633-0117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
356148907
DEPARTMENT OF LABOR PROVIDER NUMBER
IL
Enumeration date
11/26/2007
Last updated
03/04/2009
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