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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 Therapist

General Provider Information

NPI Number : 1740495308
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 : 630-575-6200
Fax Number :
Provider Business Practice Location Address
First Line : 24 E CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2009
Country : US
Telephone Number : 312-951-9700
Fax Number : 312-951-6989
Authorized Official
Title or Position : DIRECTOR OF CLINICAL SERVICES
Name : GERI COOK
Credential :
Telephone Number : 630-575-1940
Provider Enumeration Date : 05/14/2007
Last Update Date : 07/18/2016

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Directions to “ATHLETICO LTD ” Practice Location

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