Organization
ATHLETIC & THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
Active
Other names
ATI Physical Therapy Bradley Hand
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization
Contact information
Practice address
400 S KENNEDY DR, SUITE 500, BRADLEY, IL 60915-2682
(815) 936-0400
(815) 936-0416
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
IL
225X00000X
Occupational Therapist
—
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
06/24/2014
Last updated
01/02/2019
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