Athletic & Therapeutic Institute of Bourbonnais, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Bradley, IL
NPI 1760897219 · NPPES record last updated Jan 2, 2019
Key facts
- NPI
- 1760897219
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ATHLETIC & THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
- Practice address
- 400 S Kennedy Dr
Suite 500
Bradley, IL 60915-2682 - Phone
- (815) 936-0400
- Fax
- (815) 936-0416
- NPI assigned
- Jun 24, 2014
- Organization subpart
- No
Authorized official
- Name
- Lynn McGivern
- Title
- Chief Compliance Officer
- Phone
- (630) 296-2222
Member of 2
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | IL | ||
| Occupational Therapist |
225X00000X | IL | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | IL | Yes |
Addresses
Primary practice location
400 S Kennedy Dr
Suite 500
Bradley, IL 60915-2682
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other names
- ATI Physical Therapy Bradley Hand
Other providers in Bradley, IL
- Aperion Care Bradley LLC
- Aperion Care Bradley LLC
- Apollo Medical Group of Kankakee LLC
- Arc at Bradley LLC
- Arc at Bradley LLC
- Atrous Hazel Ausmus
- Andrea Dunn Baldwin
- Sarah P Balke
- Krista Rose Barton
- Kimberly Ann Beaupre
All providers in Bradley, IL · Durable Medical Equipment & Medical Supplies in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.