Athletic and Therapeutic Institute of Bourbonnais, LLC
NPI #1861503542 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1861503542
- Entity Type
- Organization
- Organization Name
- Athletic and Therapeutic Institute of Bourbonnais, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 31, 2006
- Last Updated
- May 28, 2024
Practice Location
- Address
- 1275 N CONVENT ST
- Address 2
- SUITE 3
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-8210
- Phone
- (815) 936-1855
Authorized Official
- Name
- WADE A MEYER
- Title
- VP CHIEF COMPLIANCE OFFICER
- Phone
- (630) 296-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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