Individual
AMY MARGARET TRAUTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9645 S WESTERN AVE, CHICAGO, IL 60643-1722
(773) 239-2734
(773) 239-2784
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021106
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01446052
RR MEDICARE
IL
Enumeration date
10/02/2014
Last updated
06/01/2015
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