Athletic and Therapeutic Institute of Bourbonnais, LLC

NPI #1124766696 in Columbia, Illinois

Provider Information

NPI Number
1124766696
Entity Type
Organization
Organization Name
Athletic and Therapeutic Institute of Bourbonnais, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 25, 2022
Last Updated
Dec 31, 2025

Practice Location

Address
1000 ELEVEN S STE 1B
ZIP Code
62236-1078
Phone
(618) 281-9699

Authorized Official

Name
WADE A MEYER
Title
VP CHIEF COMPLIANCE OFFICER
Phone
(630) 296-2222

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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