Provider Demographics
NPI:1023547668
Name:REDMANN, ALEXIS R (ATC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:R
Last Name:REDMANN
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 1:514 RIVER OAKS LANE
Mailing Address - Street 2:
Mailing Address - City:ISLAND LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60042
Mailing Address - Country:US
Mailing Address - Phone:847-331-2370
Mailing Address - Fax:
Practice Address - Street 1:514 RIVER OAKS LN
Practice Address - Street 2:
Practice Address - City:ISLAND LAKE
Practice Address - State:IL
Practice Address - Zip Code:60042-9663
Practice Address - Country:US
Practice Address - Phone:847-331-2370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer