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1740258821
AMANDA PATRICIA ELY
CHICAGO, IL
NPI
1740258821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-001903)
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
-- AMANDA PATRICIA ELY ATC
5530 S ELLIS AVE
CHICAGO, IL 60637-1402
Phone number: 773-702-3882
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Mailing Address
-- AMANDA PATRICIA ELY ATC
2947 N RACINE AVE APT. 1
CHICAGO, IL 60657-4233
Phone number: 773-505-2259
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