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Organization

ATHLETICO LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUANA GRANADOS (CREDENTIALING MANAGER)
(630) 575-1980
Entity
Organization

Contact information

Practice address
40820 7 MILE RD STE B, NORTHVILLE, MI 48167-2642
(947) 207-9916
(947) 233-9020
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6250

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
02/06/2023
Last updated
02/06/2023
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