Organization

Athletico Ltd

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

Legal Business Name

Athletico Ltd

NPI Number

1861095010

NPI Type

Organization

Enumeration Date

11/19/2020

Specialties

(Taxonomies)

Code

261Q00000X
225X00000X
225100000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

600 OAKMONT LN STE 600C
1231 S ROCHESTER ST STE 210

City

Westmont
Mukwonago

State

IL
WI

Postal Code

60559-5548
53149-9032

Country

US
US

Telephone Number

(630) 575-6250
(262) 710-9100

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 11/19/2020

Provider Address

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