Organization
ATHLETICO, LTD
Active
Other names
Athletico Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (CREDENTIALING MANAGER)
(630) 575-1980
Entity
Organization
Contact information
Practice address
4700 N WESTERN AVE STE 2, CHICAGO, IL 60625-6999
(773) 435-9275
(773) 945-9112
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
060005437
IL
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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