Provider Demographics
NPI:1275724544
Name:TOMAN, LINDSEY NICOLE (ATC)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:NICOLE
Last Name:TOMAN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5221 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2303
Mailing Address - Country:US
Mailing Address - Phone:773-508-2571
Mailing Address - Fax:773-508-2310
Practice Address - Street 1:6526 N. WINTHROP AVE
Practice Address - Street 2:NORVILLE ATHLETIC CENTER
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626
Practice Address - Country:US
Practice Address - Phone:773-508-2571
Practice Address - Fax:773-508-2310
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2255A2300X2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer