Deangeles, Amanda

Deangeles, Amanda is an individual health care provider with primary practice located at 1280 W. Washington Blvd , Chicago IL 60607-1930. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Deangeles, Amanda can be contacted via phone (312) 624-8750.

Contact Information

Primary practice address
1280 W. Washington Blvd Chicago IL 60607-1930
Phone: (312) 624-8750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Illinois

Profile Details

NPI number 1215470927
LBN Legal business name Deangeles, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2016
Last updated Nov 29th, 2016 - about 8 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 1215470927 NPPES
Illinois Other 85-0484980 INSURANCE

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