AMANDA LUCILLE SOUKUP

BARTLETT, IL
NPI1235507427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.004076)
Enumeration Date2015-09-04
Last Update Date2024-08-30
Business Address
AMANDA LUCILLE SOUKUP
240 WESTRIDGE BLVD
BARTLETT, IL 60103-1347
Phone number: 630-433-8990
Mailing Address
AMANDA LUCILLE SOUKUP
240 WESTRIDGE BLVD
BARTLETT, IL 60103-1347
Phone number: 630-433-8990
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