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NPI Code Detail

MEDICARE: ATHLETICO LTD

MEDICARE: ATHLETICO LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist070006079IL

General Provider Information

NPI Number : 1538375357
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATHLETICO LTD
Provider Business Mailing Address
First Line : 625 ENTERPRISE DR
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-8813
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24 S MORGAN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-3668
Country : US
Telephone Number : 312-421-7274
Fax Number : 312-421-7289
Authorized Official
Title or Position : DIRECTOR OF CLINICAL SERVICES
Name : GERI COOK
Credential : BS
Telephone Number : 630-575-1940
Provider Enumeration Date : 05/16/2007
Last Update Date : 08/24/2017

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Directions to “ATHLETICO LTD ” Practice Location

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