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Search › Illinois › 1223G0001X

Amanda Prentice

NPI 1770052151 · on the registry since 2018

Practice

Address
820 S Damen Ave Fl 4
Chicago, IL 60612
Phone
(312) 569-6669
Organisation at this address
Chicago Vamc
Chicago Vamc
Chicago Vamc
Jesse Brown Va
Jesse Brown Va
Inferred from a shared address, not stated in the registry.
Clinicians at this address
639

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-15

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