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Contact Information

AMANDA D RUEACH, M.ED, ATC
305 WEST WACKER DRIVE
SUITE 1020
CHICAGO, IL60606
 Phone: 312-640-0329
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for AMANDA D RUEACH · (Female)

NPI Number 1235400201
Status Active
Credentials M.ED, ATC
Entity Individual
Enumeration date 01/23/2012
Last updated 01/23/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 096.002630
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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