Graduated: 1979
NPI: 1194935189
Practice Locations (2)
ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
967 N GREEN BAY RD
WAUKEGAN, IL 600852259
2243215237
ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
1562 -1564 LAKE COOK RD
WHEELING, IL 600902249
8472431000
Source: CMS National Downloadable File, September 2026.