Athletico LTD
Clinic/Center · Roscoe, IL
Practice location
4817 E Rockton Rd Unit 1100Roscoe, IL 61073-9069
- Phone
- (815) 704-0104
- Fax
- (815) 491-8208
NPI record
- NPI
- 1033712898
- Entity type
- Organization (Type 2)
- Enumeration date
- November 16, 2020
- Last updated
- November 16, 2020
- Certified
- November 16, 2020
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X |
— | — |
| Physical Therapist | 225100000X |
— | — |
| Occupational Therapist | 225X00000X |
— | — |
Mailing address
600 Oakmont Ln Ste 600cWestmont, IL 60559-5548
- Phone
- (630) 575-6250
- Fax
- (630) 575-7450
Authorized official
- Name
- Juana Granados
- Title
- Credentialing Manager
- Phone
- (630) 575-1980
Other names
- Athletico Physical Therapy
About Athletico LTD
Athletico LTD is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 4817 E Rockton Rd Unit 1100, Roscoe, IL 61073-9069. The NPI number 1033712898 was assigned on November 16, 2020 and the record was last updated on November 16, 2020.
The authorized official for this organization is Juana Granados, Credentialing Manager.
Frequently asked questions
What is the NPI number of Athletico LTD?
The NPI number is 1033712898.
What is the phone number of Athletico LTD?
The phone number listed for the practice location is (815) 704-0104.
Where is Athletico LTD located?
4817 E Rockton Rd Unit 1100, Roscoe, IL 61073-9069.
What is the taxonomy code for Athletico LTD?
The primary taxonomy code is 261Q00000X – Clinic/Center; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.