Individual
ASHLEY KUDLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
650 S RANDALL RD, ALGONQUIN, IL 60102-5944
(779) 771-7000
Mailing address
3424 SOUTHPORT DR, ISLAND LAKE, IL 60042-9123
(847) 323-4603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004178
IL
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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