SearchIllinois2255A2300X

Tina Sunderland, ATC

NPI 1790816650 · on the registry since 2007 · sole proprietor

Practice

Address
22 Ashlawn Ave
Montgomery, IL 60538
Phone
(630) 892-7709

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
2007-07-08

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