Individual
AMANDA KOERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6015 LAKESIDE PL, TINLEY PARK, IL 60477-1979
(708) 532-9737
Mailing address
6015 LAKESIDE PL, TINLEY PARK, IL 60477-1979
(708) 532-9737
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M0000X
IL
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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