MEDICARE: ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, 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	225100000X	Physical Therapist		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	610078609	OTHER	IL	DEPT OF LABOR

General Provider Information

NPI Number	:	1871825455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC

Provider Business Mailing Address
First Line	:	790 REMINGTON BLVD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-4909
Country	:	US
Telephone Number	:	630-296-2223
Fax Number	:

Provider Business Practice Location Address
First Line	:	4620 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4620
Country	:	US
Telephone Number	:	773-728-2690
Fax Number	:	773-728-2692

Authorized Official
Title or Position	:	CHIEF COMPLIANCE OFFICER
Name	:	LYNN MCGIVERN
Credential	:
Telephone Number	:	630-296-2222

Provider Enumeration Date	:	02/05/2010
Last Update Date	:	04/06/2011

Similar Medicare Providers

1043145691 — KIERAN TILFORD
Practice Location Address:

4620 N CLARK ST
CHICAGO, IL
60640-4620

Practice Phone: 773-728-2690
Practice Fax:

1053603613 — JONATHAN SETH ADELSTEIN M.D.
Practice Location Address:

4610 N CLARK ST # 1028
CHICAGO, IL
60640-4620

Practice Phone: 773-747-5500
Practice Fax: 773-747-5586

1073806196 — DR. TRINA A ARMSTRONG LMFT
Practice Location Address:

4610 N CLARK ST APT 1140
CHICAGO, IL
60640-4620

Practice Phone: 224-207-4020
Practice Fax: 224-252-3674

1508147521 — MS. REBECCA A EHLER LCPC
Practice Location Address:

4610 N CLARK ST # 1054
CHICAGO, IL
60640-4620

Practice Phone: 312-625-2435
Practice Fax:

1255608683 — DR. NICOLAS BRANDON WARNER PSY.D
Practice Location Address:

4610 N CLARK ST # 1307
CHICAGO, IL
60640-4620

Practice Phone: 773-240-5151
Practice Fax: 341-689-3474

1588086805 — BRIAN SO
Practice Location Address:

4620 N CLARK ST
CHICAGO, IL
60640-4620

Practice Phone: 773-728-2690
Practice Fax: 773-728-2692

Directions to “ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, 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.