Stucky, Amanda M

Stucky, Amanda M is an individual health care provider with primary practice located at 801 S Milwaukee Ave , Libertyville IL 60048-3204. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Stucky, Amanda M can be contacted via phone (414) 290-6720.

Contact Information

Primary practice address
801 S Milwaukee Ave Libertyville IL 60048-3204
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.005523 Illinois

Profile Details

NPI number 1871803387
LBN Legal business name Stucky, Amanda M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2010
Last updated Dec 8th, 2021 - about 4 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.

Request for update

Popular Providers