Athletic and Therapeutic Institute of Naperville, LLC

NPI #1114003365 in New Lenox, Illinois

Provider Information

NPI Number: 1114003365
Entity Type: Organization
Organization Name: Athletic and Therapeutic Institute of Naperville, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 31, 2006
Last Updated: Jun 22, 2011

Practice Location

Address: 806 LARAWAY RD # 808
City: New Lenox
State: Illinois
ZIP Code: 60451-2694
Phone: (815) 462-8416

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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