# AMANDA MARIE BOZICH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** AMANDA BOZICH DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770135485
- **Authorized official:** AMANDA MARIE BOZICH (OWNER)
- **Authorized official phone:** (847) 228-6543

## Contact information

- **Practice address:** 800 BIESTERFIELD RD STE 207, ELK GROVE VILLAGE, IL 60007-3378
- **Practice address phone:** (847) 228-6543
- **Mailing address:** 800 BIESTERFIELD RD STE 207, ELK GROVE VILLAGE, IL 60007-3378
- **Mailing address phone:** (847) 228-6543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2019
- **Last updated:** 11/01/2019