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NPI 1861095010

OrganizationActive

Athletico Ltd

NPI 1861095010 · Clinic/Center · Mukwonago, WI

Provider details

NPI number: 1861095010
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Juana Granados, Credentialing Manager

Practice location

1231 S Rochester St Ste 210

Mukwonago, WI 53149-9032

Phone: (262) 710-9100

Fax: (262) 363-7798

More WI providers

Mailing address

600 Oakmont Ln Ste 600c

Westmont, IL 60559-5548

Registry dates

Enumerated: 2020-11-19
Last updated: 2020-11-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Athletico Ltd — NPI 1861095010, Mukwonago, WI | NPI Central