Graduated: 2014
NPI: 1073007639
Practice Locations (3)
ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
1275 N CONVENT ST, SUITE 3
BOURBONNAIS, IL 609148211
8159361855
ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
2542 S ALPINE RD, SUITE 102
ROCKFORD, IL 611087813
8159975115
ORTHOMIDWEST, PLLC
2902 MCFARLAND RD, SUITE 300
ROCKFORD, IL 611076801
8153989491
Source: CMS National Downloadable File, September 2026.