Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Lucille Soukup

Individual provider Athletic Trainer · NPI 1235507427

Amanda Lucille Soukup is an Athletic Trainer in Bartlett, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
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Practice location Address checks out

240 Westridge Blvd
Bartlett, IL 60103-1347
Phone: (630) 433-8990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 540 E Constitution Dr Apt 4, Palatine, IL 60074-1912 — (630) 433-8990

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096.004076 (IL)

Record details

NPI number1235507427
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2015
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address240 Westridge Blvd, Bartlett, IL 60103-1347

Other providers in Bartlett