Athletic and Therapeutic Institute of Bourbonnais, LLC
NPI #1427541671 in Plainfield, Illinois
Provider Information
- NPI Number
- 1427541671
- Entity Type
- Organization
- Organization Name
- Athletic and Therapeutic Institute of Bourbonnais, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 12, 2018
- Last Updated
- Aug 19, 2024
Practice Location
- Address
- 23915 W MAIN ST UNIT 105
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60544-1999
- Phone
- (815) 577-8844
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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