Organization

Athletico Ltd

Clinic/Center in Grafton, WI(View on Map)

Legal Business Name

Athletico Ltd

NPI Number

1124672977

NPI Type

Organization

Enumeration Date

07/30/2019

Specialties

(Taxonomies)

Code

261Q00000X
225X00000X
225100000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

600 OAKMONT LN STE 600C
2225 WISCONSIN AVE STE 100

City

Westmont
Grafton

State

IL
WI

Postal Code

60559-5548
53024-2608

Country

US
US

Telephone Number

(630) 575-1980
(262) 474-0063

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 07/30/2019

Provider Address