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Individual

MISS AMY BECKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC, CSCS

Contact information

Practice address
1 UNIVERSITY CIRCLE, WESTERN ILLINOIS UNIVERSITY ATHLETICS, MACOMB, IL 61455
(505) 925-5540
Mailing address
170 S YORKTOWN RD, MACOMB, IL 61455-9404
(774) 261-0590

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002864
IL
2255A2300X
Athletic Trainer

Other

Enumeration date
06/27/2006
Last updated
11/12/2009
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