Wilson, Amanda S

Wilson, Amanda S is an individual health care provider with primary practice located at 5544 Willow Springs Rd , La Grange Highlands IL 60525-3474. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Wilson, Amanda S can be contacted via phone (708) 205-1961.

Contact Information

Primary practice address
5544 Willow Springs Rd La Grange Highlands IL 60525-3474
Phone: (708) 205-1961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X Illinois

Profile Details

NPI number 1548238066
LBN Legal business name Wilson, Amanda S
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
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.

Request for update

Popular Providers