Athletico, Ltd.

NPI #1093283350 in Lindenhurst, Illinois

Provider Information

NPI Number: 1093283350
Entity Type: Organization
Organization Name: Athletico, Ltd.
Primary Specialty: Physical Therapist
Enumeration Date: Nov 5, 2018
Last Updated: Nov 5, 2018

Practice Location

Address: 1870 E GRAND AVE
City: Lindenhurst
State: Illinois
ZIP Code: 60046-7821
Phone: (224) 643-0117

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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