Athletico Ltd

NPI #1033712898 in Roscoe, Illinois

Provider Information

NPI Number: 1033712898
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Nov 16, 2020
Last Updated: Nov 16, 2020

Practice Location

Address: 4817 E ROCKTON RD UNIT 1100
City: Roscoe
State: Illinois
ZIP Code: 61073-9069
Phone: (815) 704-0104

Authorized Official

Name: JUANA GRANADOS
Title: CREDENTIALING MANAGER
Phone: (630) 575-1980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Clinic/Center	261Q00000X	Primary

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