SearchIllinoisEarly Intervention Provider Agency

Amanda Miller

NPI 1114397619 · on the registry since 2015 · sole proprietor

Practice

Address
3416 N Damen Ave Apt 1f
Chicago, IL 60618
Phone
(419) 265-0849

Registry record

Primary taxonomy
Early Intervention Provider Agency
252Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-09-28

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