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Amanda Gough, MS, ATC
NPI 1710213178 · on the registry since 2009
Practice
- Address
- 25 W Lincoln Ave
Charleston, IL 61920 - Phone
- (217) 345-9600
- Organisation at this address
- Back To Health Physicians Group Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
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
- 2009-10-20
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