OrganizationActive
Athletico Ltd
NPI 1679245385 · Clinic/Center · Peoria, AZ
Provider details
- NPI number
- 1679245385
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Juana Granados, Credentialing Manager
Practice location
24737 N Lake Pleasant Pkwy Ste 106
Peoria, AZ 85383-1569
Phone: (623) 289-3200
Fax: (623) 223-5072
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Registry dates
- Enumerated
- 2021-09-30
- Last updated
- 2021-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.