Amanda Soukup, OD

NPI #1699506964 in Yorkville, Illinois

Provider Information

NPI Number: 1699506964
Entity Type: Individual
Name: Amanda Soukup, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 9, 2024
Last Updated: Aug 26, 2024

Practice Location

Address: 120 E COUNTRYSIDE PKWY STE B
City: Yorkville
State: Illinois
ZIP Code: 60560-1878
Phone: (630) 553-6166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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