Active NPI
Athletic and Therapeutic Institute of Bourbonnais, LLC
- Durable Medical Equipment & Medical Supplies
- Elgin, IL
National Provider Identifier
1902550007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
- Practice address
- 841 S Randall Rd
Elgin, IL 60123-3002 - Phone
- (224) 856-4448
- NPI assigned
- Feb 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Watkins
- Title
- Director of Credentialing
- Phone
- (630) 296-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
841 S Randall Rd
Elgin, IL 60123-3002
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Physical Therapist
- Chicago, IL
- NPI 1871825455
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644278400000",
"number": "1902550007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 S RANDALL RD",
"city": "ELGIN",
"state": "IL",
"postal_code": "601233002",
"telephone_number": "224-856-4448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-01-27",
"status": "A",
"authorized_official_last_name": "WATKINS",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "630-296-2222"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.