Graduated: 2012
NPI: 1497394720
Practice Locations (2)
ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
12112 S ROUTE 47
HUNTLEY, IL 601429619
8478025312
PAXXON HEALTHCARE SERVICES LLC
525 HARVEST GATE
LAKE IN THE HILLS, IL 601564877
8479577070
Source: CMS National Downloadable File, September 2026.