Nurse Practitioner
ATHLETIC AND THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1538581418 · enumerated 2014-01-13 · record updated 2014-01-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LYNN MCGIVERN, Chief Compliance Officer · (630) 296-2222
Other names: ATI ACTIVE CARE
Addresses and phones
- Practice location 2835 N GRANDVIEW BLVD, STE 100, PEWAUKEE, WI, 53072-5546 (262) 262-1100 Google Maps Apple Maps OpenStreetMap
- Mailing address 790 REMINGTON BLVD, BOLINGBROOK, IL, 60440-4909 (630) 296-2223 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · Primary
In this directory
Locations and evidence
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Practice location
PEWAUKEE, WI, 530725546
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.