ATHLETICO, LTD. (NPI# 1245797075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245797075 |
| Entity Type | Organization |
| Organization Name | ATHLETICO, LTD. |
| Practice Address |
2900 W Peterson Ave Chicago IL 60659-3818 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 7735965484 |
| Practice Fax Number | 7738628578 |
| Mailing Telephone | 6305756200 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | JUANA GRANADOS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6305751980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Athletico Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114486834 | Athletico, Ltd. | Clinic/Center | 750 E Terra Cotta Ave Ste D, Crystal Lake, IL 60014-3621 | 2019-03-13 |
| 1093283350 | Athletico, Ltd. | Physical Therapist | 1870 E Grand Ave, Lindenhurst, IL 60046-7821 | 2018-11-05 |
| 1699272864 | Athletico, Ltd. | Clinic/Center | 2520 N Elston Ave, Chicago, IL 60647-2004 | 2018-04-12 |
| 1023520244 | Athletico, Ltd. | Physical Therapist | 5601 W Monee Manhattan Rd Ste 115, Monee, IL 60449-8866 | 2017-10-27 |
| 1316403751 | Athletico, Ltd. | Clinic/Center | 28 N Clark St, Chicago, IL 60602-2716 | 2019-02-11 |
| 1346728029 | Athletico, Ltd. | Physical Therapist | 372 E Il Route 38, Rochelle, IL 61068-9694 | 2018-08-03 |
| 1053898122 | Athletico, Ltd. | Physical Therapist | 460 W Irving Park Rd Ste G, Bensenville, IL 60106-2178 | 2018-07-23 |
| 1255818571 | Athletico, Ltd. | Physical Therapist | 405 E North Ave, Lombard, IL 60148-1325 | 2018-07-20 |
| 1427545730 | Athletico, Ltd. | Physical Therapist | 165 N Lakewood Rd Ste E, Lake In The Hills, IL 60156 | 2018-04-23 |
| 1235656760 | Athletico, Ltd. | Clinic/Center | 1455 W Webster Ave # 4, Chicago, IL 60614-3049 | 2017-08-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | ATHLETICO, LTD | 625 Enterprise Drive, Oak Brook, IL 60523 |
| Iowa Business Entities | ATHLETICO, LTD. | 625 Enterprise Dr, Oak Brook, IL 60523 |
| Indiana Business Entities | ATHLETICO, LTD. | 625 Enterprise Dr, Oak Brook, IL 60523 |
| Street Address |
2900 W PETERSON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528008539 | Ejaz Rahimchaudhry | Radiology | 2900 W Peterson Ave, Suite 11, Chicago, IL 60659-3818 | 2006-06-07 |
| 1760007868 | Evelyn M Lee | Physical Therapist | 2900 W Peterson Ave, Chicago, IL 60659-3818 | 2020-06-15 |
| 1295368520 | Athletico Ltd | Clinic/Center | 2900 W Peterson Ave, Chicago, IL 60659-3818 | 2020-02-14 |
| 1679007371 | Sarah Jaacks | Physical Therapist | 2900 W Peterson Ave, Chicago, IL 60659 | 2017-04-19 |
| 1053869628 | National Clinical Labs | Clinical Medical Laboratory | 2900 W Peterson Ave, Ste#14, Chicago, IL 60659-3818 | 2016-09-13 |
| 1720366701 | Dawn Diagnostics Imaging Group Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2900 W Peterson Ave, Suite 6, Chicago, IL 60659-3818 | 2011-07-25 |
| 1215971965 | Muneer S Hasan | Radiologic Technologist | 2900 W Peterson Ave, Suite 11, Chicago, IL 60659-3818 | 2006-06-15 |
| 1952343246 | Mobile Imaging Services,inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2900 W Peterson Ave, Suite 11, Chicago, IL 60659-3818 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| 1275152746 | Freeform Physical Therapy LLC | Clinic/Center | 2906 W Fullerton Ave, Chicago, IL 60647-2921 | 2020-04-14 |
| 1730736158 | Achieve Performance Lab LLC | Clinic/Center | 1940 W Lawrence Ave Apt 3w, Chicago, IL 60640-4012 | 2019-08-20 |
| 1255997862 | Urban Physical Therapy LLC | Clinic/Center | 345 E Ohio St Apt 2807, Chicago, IL 60611-4065 | 2019-05-20 |
| 1760047179 | Remedy Physical Therapy and Wellness | Clinic/Center | 4636 N Kenmore Ave # 2, Chicago, IL 60640-5039 | 2019-05-01 |
| 1780248864 | Customfit Concierge Medicine, Health and Fitness LLC | Clinic/Center | 1413 W Fillmore St Apt 2, Chicago, IL 60607-4716 | 2019-04-24 |
| 1801356175 | Kinetic Care Physical Therapy LLC | Clinic/Center | 3245 N Ashland Ave Apt 2a, Chicago, IL 60657-4087 | 2019-03-22 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1699272864 | Athletico, Ltd. | Clinic/Center | 2520 N Elston Ave, Chicago, IL 60647-2004 | 2018-04-12 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.