Individual
AMANDA TODAVCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 BURR OAK DR, LAKE ZURICH, IL 60047-2505
(224) 676-8555
Mailing address
105 BURR OAK DR, LAKE ZURICH, IL 60047-2505
(224) 676-8555
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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