Organization
ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
Active
Other names
ATI Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization
Contact information
Practice address
23915 MAIN STREET, SUITE C, PLAINFIELD, IL 60544-1993
(815) 577-8844
Mailing address
4947 PAYSPHERE CIR, CHICAGO, IL 60674-4947
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
356148905
DEPARTMENT OF LABOR PROVIDER NUMBER
IL
Enumeration date
04/08/2008
Last updated
02/14/2014
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