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