Organization
ATHLETIC AND THERAPEUTIC INSTITUTE OF JOLIET LLC
Active
Other names
Athletic and Therapeutic Institute of Joliet at Madison
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BOGOVICH (CFO)
(630) 633-5557
Entity
Organization
Contact information
Practice address
330 MADISON ST, LL14, JOLIET, IL 60435-6565
(815) 553-1010
(815) 553-1011
Mailing address
1408 JOLIET RD, ROMEOVILLE, IL 60446-4064
(630) 783-2001
(630) 783-0117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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