Athletic & Therapeutic Institute of Bourbonnais, LLC
NPI #1629397401 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1629397401
- Entity Type
- Organization
- Organization Name
- Athletic & Therapeutic Institute of Bourbonnais, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 19, 2010
- Last Updated
- Feb 18, 2022
Practice Location
- Address
- 110 MOONEY DR
- Address 2
- SUITE 5
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-2171
- Phone
- (815) 936-0611
Authorized Official
- Name
- LYNN MCGIVERN
- Title
- CCO
- Phone
- (630) 296-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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