Athletic & Therapeutic Institute of Bourbonnais, LLC

NPI #1083937056 in Minooka, Illinois

Provider Information

NPI Number: 1083937056
Entity Type: Organization
Organization Name: Athletic & Therapeutic Institute of Bourbonnais, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 5, 2010
Last Updated: Feb 18, 2022

Practice Location

Address: 2081 RIDGE RD
Address 2: SUITE101
City: Minooka
State: Illinois
ZIP Code: 60447-8848
Phone: (815) 467-1612

Authorized Official

Name: LYNN MCGIVERN
Title: CHIEF COMPLIANCE OFFICER
Phone: (630) 296-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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