Individual
AMANDA MACNAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
13645 S CHIPPEWA TRL, HOMER GLEN, IL 60491-9648
(708) 997-4205
Mailing address
13645 S CHIPPEWA TRL, HOMER GLEN, IL 60491-9648
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
02/10/2021
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