Graduated: 2023
NPI: 1851159065
Practice Locations (2)
ATHLETICO LTD
5300 N ILLINOIS ST, SUITE 101
FAIRVIEW HEIGHTS, IL 622083500
6186249300
ATHLETICO LTD
4337 BUTLER HILL RD, SUITE L
SAINT LOUIS, MO 631283735
3144877000
Source: CMS National Downloadable File, September 2026.