Arevalo, Amanda

Arevalo, Amanda is an individual health care provider with primary practice located at 6915 30Th Pl , Berwyn IL 60402-2957. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Arevalo, Amanda can be contacted via phone (708) 602-1581.

Contact Information

Primary practice address
6915 30Th Pl Berwyn IL 60402-2957
Phone: (708) 602-1581
Fax: (708) 484-8841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X Illinois

Profile Details

NPI number 1518018399
LBN Legal business name Arevalo, Amanda
Credentials PT, MS, PCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518018399 NPPES
Illinois Other 1634441 BLUE CROSS BLUE SHIELD

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