Organization

Athletico Ltd

Clinic/Center in Carrollton, TX(View on Map)

Legal Business Name

Athletico Ltd

NPI Number

1407436132

NPI Type

Organization

Enumeration Date

04/08/2021

Specialties

(Taxonomies)

Code

261Q00000X
225X00000X
225100000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

2122 YORK RD STE 300
4009 OLD DENTON RD STE 104

City

Oak Brook
Carrollton

State

IL
TX

Postal Code

60523-1925
75007-1022

Country

US
US

Telephone Number

(630) 575-6200
(469) 521-9333

Authorized Official

Name

Juana Granados

Title or Position

CREDENTIALING MANAGER

Telephone Number

(630) 575-1980

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/08/2021

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