| Athletic & Therapeutic Institute Of Bourbonnais, Llc | |
|
2081 Ridge Rd, Suite101, Minooka, IL 60447-8848 | |
| (815) 467-1612 | |
| (815) 467-1866 |
| Full Name | Athletic & Therapeutic Institute Of Bourbonnais, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2081 Ridge Rd, Minooka, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083937056 | NPI | - | NPPES |
| DR5855 | Other | IL | MEDICARE RAILROAD |
| 610128402 | Other | IL | DEPT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Athletic & Therapeutic Institute Of Bourbonnais, Llc 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Athletic & Therapeutic Institute Of Bourbonnais, Llc 2081 Ridge Rd, Suite101, Minooka, IL 60447-8848 Ph: (815) 467-1612 |
Mrs. Frances Wedge, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S Ridge Rd, Minooka, IL 60447 Phone: 815-521-4400 Fax: 815-521-9709 | |
Miss Jayne Sutcliffe, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1010 S Ridge Rd, Minooka, IL 60447 Phone: 815-521-4400 Fax: 815-521-9709 | |
Danielle M Adolph, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2081 Ridge Rd, Suite 101, Minooka, IL 60447 Phone: 815-467-1612 | |
Jason E Gall, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2081 Ridge Rd Ste 101, Minooka, IL 60447 Phone: 815-467-1612 | |
Katherine Boll, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2081 Ridge Rd, Suite 101, Minooka, IL 60447 Phone: 815-467-1612 Fax: 815-467-1866 | |
Genevieve Krumlinde, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2081 Ridge Rd, Ste 101, Minooka, IL 60447 Phone: 815-467-1612 Fax: 815-467-1866 |