Individual
AMANDA DAWN RUEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ATC
Contact information
Practice address
305 WEST WACKER DRIVE, SUITE 1020, CHICAGO, IL 60606
(312) 640-0329
Mailing address
3100 ELIM AVE, ZION, IL 60099-3214
(847) 246-7464
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002630
WI
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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