Athletico Excel Nebraska, LLC

NPI #1952819963 in Oak Brook, Illinois

Provider Information

NPI Number: 1952819963
Entity Type: Organization
Organization Name: Athletico Excel Nebraska, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jan 12, 2018
Last Updated: Feb 2, 2018

Practice Location

Address: 625 ENTERPRISE DR
City: Oak Brook
State: Illinois
ZIP Code: 60523-8813
Phone: (630) 575-1980

Authorized Official

Name: GERI COOK
Title: VP OF BILLING OPERATIONS
Phone: (630) 575-1940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Clinic/Center	261Q00000X	Primary

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