Amanda Todavchick

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

105 Burr Oak Dr
Lake Zurich, IL 60047-2505

Phone

(224) 676-8555

NPI assigned

Feb 15, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1508305178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BURR OAK DR",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472505",
            "telephone_number": "224-676-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BURR OAK DR",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472505",
            "telephone_number": "224-676-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODAVCHICK",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sivakami Thayu, MD
• The Eye Works, LTD.
• The Iris Impact Group, Inc.
• Einav Tivers, M.A.
• Kathleen Tkoletz, LAT, ATC
• Toledo Clinic Incorporated
• Toni Rey,LCSW,LTD.
• Robert W Trauscht, MD
• Tree of Life Counseling LLC
• True Health

• Athletic Trainer in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.