SearchIllinois103TS0200X

Amanda Vanderwaal

NPI 1851800585 · on the registry since 2017

Practice

Address
3945 Wehrman Ave
Schiller Park, IL 60176
Phone
(847) 671-0250
Clinicians at this address
2

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-09-26

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