AMANDA PATRICIA ELY

CHICAGO, IL
NPI1740258821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-001903)
Enumeration Date2006-03-14
Last Update Date2007-07-08
Business Address
-- AMANDA PATRICIA ELY ATC
5530 S ELLIS AVE
CHICAGO, IL 60637-1402
Phone number: 773-702-3882
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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