Individual
AMANDA SHULKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 FLORSHEIM DR, LIBERTYVILLE, IL 60048-3757
(847) 918-9077
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-008959
IL
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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