ATHLETICO, LTD. (NPI# 1316403751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316403751 |
| Entity Type | Organization |
| Organization Name | ATHLETICO, LTD. |
| Practice Address |
28 N Clark St Chicago IL 60602-2716 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 3124506468 |
| Practice Fax Number | 3122731100 |
| Mailing Telephone | 6305756200 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| 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 |
| 1245797075 | Athletico, Ltd. | Clinic/Center | 2900 W Peterson Ave, Chicago, IL 60659-3818 | 2019-02-28 |
| 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 |
28 N CLARK ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60602-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740736883 | Brianna Lauren Levy | Physical Therapist | 28 N Clark St, Chicago, IL 60602 | 2016-08-29 |
| 1801454806 | Justin R Young | Physical Therapist | 28 N Clark St, Chicago, IL 60602-2716 | 2019-06-04 |
| 1578083978 | Matthew J Ventimiglia | Physical Therapist | 28 N Clark St, Chicago, IL 60602 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
| 1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
| 1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
| 1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
| 1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
| 1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
| 1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
| 1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
| 1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
| 1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
| Find all providers in zip 60602 | ||||
| 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.