| Organization Name: | ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC |
| NPI Number: | 1043548043 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER) |
| Mailing Address: | 951 W Touhy Ave Park Ridge |
| State: | IL US |
| Postal Code: | 600683230 |
| Phone Number: | 8472920151 |
| Fax Number: | 8472920291 |
| NPI Enumeration Date: | 12/02/2009 |
| NPI Last Update Date: | 12/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |