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Organization

ATHLETIC & 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
939 W NORTH AVE, SUITE 100, CHICAGO, IL 60642-7138
(312) 951-1952
(312) 951-1953
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
610078605
DEPT OF LABOR
IL
Enumeration date
08/18/2009
Last updated
04/07/2011
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