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Amanda Wilderman

NPI 1659915171 · on the registry since 2019 · sole proprietor

Practice

Address
13138 Illinois 13
Coulterville, IL 62237
Phone
(618) 758-2256
Clinicians at this address
2

Additional practice sites

  • 1309 Allendale Blvd, Chester, IL

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois