Organization
ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE WATKINS (DIRECTOR OF CREDENTIALING)
(630) 296-2222
Entity
Organization
Contact information
Practice address
841 S RANDALL RD, ELGIN, IL 60123-3002
(224) 856-4448
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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