Athletico Excel Nebraska, LLC
Clinic/Center in Oak Brook, IL. Organization (NPI-2).
NPI number1952819963
StatusActive
Last updated in NPPESFeb 2, 2018
Details
- NPI
- 1952819963
- Entity type
- Organization (NPI-2)
- Legal business name
- Athletico Excel Nebraska, LLC
- Organization subpart
- No
- Enumeration date
- Jan 12, 2018
- Last updated
- Feb 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | NE | Yes |
| 225100000X | Physical Therapist | – | NE | |
| 225X00000X | Occupational Therapist | – | NE |
Other names
- Excel Physical Therapy (Doing Business As)
Practice location
625 Enterprise DrOak Brook, IL 60523-8813
Phone 630-575-1980 · Fax 630-928-5080
Mailing address
600 Oakmont Ln Ste 600cWestmont, IL 60559-5548
Phone 630-575-1980 · Fax 630-928-5080
Authorized official
Geri Cook
Vp Of Billing Operations
6305751940
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