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Amanda Soukup
NPI 1235507427 · on the registry since 2015
Practice
- Address
- 240 Westridge Blvd
Bartlett, IL 60103 - Phone
- (630) 433-8990
Additional practice sites
- 540 E Constitution Dr Apt 4, Palatine, IL
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois