Individual
AMANDA ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # 4076M410, CHICAGO, IL 60637-1443
(773) 702-8597
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036.146107
IL
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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