Healthcare Provider Details

I. General information

NPI: 1588303101
Provider Name (Legal Business Name): ADRIANA ATCHLEY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 ROYAL BLVD
ELGIN IL
60123-4717
US

IV. Provider business mailing address

2320 ROYAL BLVD
ELGIN IL
60123-4717
US

V. Phone/Fax

Practice location:
  • Phone: 224-783-6128
  • Fax: 224-783-2131
Mailing address:
  • Phone: 224-783-6128
  • Fax: 224-783-2131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.025937
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: