| Athleico Physical Therapy | |
|
10081 Wicker Ave #4 Saint John IN 46373 | |
| (219) 627-6445 | |
| (219) 351-1803 |
| Full Name | Athleico Physical Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 10081 Wicker Ave #4, Saint John, Indiana |
| Authorized Official Name and Position | Juana Granados (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6305751980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Athleico Physical Therapy 600 Oakmont Ln Ste 600c Westmont IL 60559-5548 Ph: (630) 575-6250 | Athleico Physical Therapy 10081 Wicker Ave #4 Saint John IN 46373 Ph: (219) 627-6445 |
| NPI Number | 1306493507 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306493507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
Midwest Anesthesia and Pain Specialists, SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9615 Keilman St, Saint John, IN 46373 Phone: 773-362-2914 |
St John Family Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10860 Maple Ln, Saint John, IN 46373 Phone: 219-365-7000 Fax: 219-365-2609 |
Northshore St. John Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9825 Wicker Ave Side, Saint John, IN 46373 Phone: 219-763-8112 Fax: 219-764-5380 |