MEDICARE: ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1801739586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:	630-296-2222
Fax Number	:	630-296-2222

Provider Business Practice Location Address
First Line	:	206 E RAND RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3102
Country	:	US
Telephone Number	:	224-347-3616
Fax Number	:	630-657-1255

Authorized Official
Title or Position	:	CHIEF COMPLIANCE OFFICER
Name	:	WADE A MEYER
Credential	:
Telephone Number	:	630-296-2223

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

Similar Medicare Providers

1932818853 — BIJOY VARUGHESE
Practice Location Address:

206 E RAND RD
ARLINGTON HEIGHTS, IL
60004-3102

Practice Phone: 224-347-3616
Practice Fax:

1669587978 — DR. JOHN PETKANAS DDS
Practice Location Address:

777 TERRACE AVE , SUITE 302
HASBROUCK HEIGHTS, NJ
07604-3102

Practice Phone: 201-703-0100
Practice Fax: 201-703-0101

1437692654 — LAQUITTA ANTIONETTE WILDER LCSW
Practice Location Address:

140 WELDON PKWY
MARYLAND HEIGHTS, MO
63043-3102

Practice Phone: 314-417-5075
Practice Fax:

1659934669 — JEFFREY PAUL CATES
Practice Location Address:

826 W 11 MILE RD
MADISON HEIGHTS, MI
48071-3102

Practice Phone: 248-246-1669
Practice Fax:

1861148116 — APOLLO BILINGUAL SPEECH LANGUAGE THERAPY
Practice Location Address:

225 S HEIGHTS BLVD APT 3102
HOUSTON, TX
77007-6355

Practice Phone: 915-487-4167
Practice Fax:

1962264432 — NEW JOURNEE
Practice Location Address:

1621 HILLTOP AVE
CHICAGO HEIGHTS, IL
60411-3102

Practice Phone: 708-705-3476
Practice Fax:

Directions to “ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.