| Athletico Ltd | |
|
20873 Mack Ave Grosse Pointe Woods MI 48236 | |
| (313) 466-7884 | |
| (313) 464-0001 |
| Full Name | Athletico Ltd |
|---|---|
| Speciality | Clinic/center |
| Location | 20873 Mack Ave, Grosse Pointe Woods, Michigan |
| 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 |
|---|---|
| Athletico Ltd 2122 York Rd Ste 300 Oak Brook IL 60523-1925 Ph: (630) 575-6200 | Athletico Ltd 20873 Mack Ave Grosse Pointe Woods MI 48236 Ph: (313) 466-7884 |
| NPI Number | 1477229318 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 08/20/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477229318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
Center for Preventive Medicine PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20870 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-885-2334 Fax: 313-647-4837 |
Wayte Medical PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1373 Torrey Rd, Grosse Pointe Woods, MI 48236 Phone: 385-528-8258 |
Fikry F Ibrahim MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20825 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-886-0006 Fax: 313-886-8523 |
Grosse Pointe Urgent Care PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20311 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-499-6000 Fax: 313-499-6001 |
Dennis C. Packey, DO PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20867 Mack Ave, Suite 3, Grosse Pointe Woods, MI 48236 Phone: 313-886-0600 Fax: 313-886-0612 |
Matt Ptaszkiewicz MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19787 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-881-2666 Fax: 313-882-7596 |