Athletic and Therapeutic Institute of Bourbonnais, LLC
NPI #1174287858 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1174287858
- Entity Type
- Organization
- Organization Name
- Athletic and Therapeutic Institute of Bourbonnais, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 28, 2021
- Last Updated
- Oct 28, 2021
Practice Location
- Address
- 1296 W BOUGHTON RD
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60490-1554
- Phone
- (630) 771-0850
Authorized Official
- Name
- KATIE WATKINS
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (630) 296-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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