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Amanda Wilderman
NPI 1659915171 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1100 W Diann Ln
Carbondale, IL 62901 - Phone
- (618) 549-8006
- Fax
- (618) 549-8434
- Organisation at this address
- Southern Illinois Gi Specialists Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 1309 Allendale Blvd, Chester, IL
Registry record
- Primary taxonomy
- Adult Medicine Physician
207QA0505X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-24
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