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
735 HIGHGROVE PL, ROCKFORD, IL 61108-2520
(815) 226-4365
(815) 226-4589
Mailing address
4947 PAYSPHERE CIR, CHICAGO, IL 60674-0001
(630) 296-2222
(630) 759-6106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
356148914
DEPARTMENT OF LABOR PROVIDER NUMBER
IL
Enumeration date
12/18/2007
Last updated
12/09/2011
Update your record
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