Amanda Lucille Soukup

Athletic Trainer · Bartlett, IL

Individual Active NPI

NPI number 1235507427

Practice location

240 Westridge Blvd
Bartlett, IL 60103-1347
Phone
(630) 433-8990

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NPI record

NPI
1235507427
Entity type
Individual (Type 1)
Enumeration date
September 4, 2015
Last updated
August 30, 2024
Certified
August 30, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096.004076 IL

Other practice locations (1)

  • 540 E Constitution Dr Apt 4, Palatine, IL 60074-1912 · (630) 433-8990

About Amanda Soukup

Amanda Lucille Soukup is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 240 Westridge Blvd, Bartlett, IL 60103-1347. The NPI number 1235507427 was assigned on September 4, 2015 and the record was last updated on August 30, 2024.

Amanda Soukup lists a license in the registry: #096.004076 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Lucille Soukup?

The NPI number is 1235507427.

What is the phone number of Amanda Soukup?

The phone number listed for the practice location is (630) 433-8990.

Where is Amanda Soukup located?

240 Westridge Blvd, Bartlett, IL 60103-1347.

What is the taxonomy code for Amanda Soukup?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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