Provider Demographics
NPI:1750747465
Name:FREUDINGER, SHERYL L (ATC)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:L
Last Name:FREUDINGER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:MISS
Other - First Name:SHERYL
Other - Middle Name:L
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:18660 GRAPHIC DR
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-6260
Mailing Address - Country:US
Mailing Address - Phone:708-263-2000
Mailing Address - Fax:
Practice Address - Street 1:18660 GRAPHICS DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477
Practice Address - Country:US
Practice Address - Phone:708-263-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL096.0005372255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer