Individual
AMANDA LINNEA HAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4100
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
48926
CO
2080P0202X
Pediatric Cardiology Physician
Primary
036134993
IL
2080P0202X
Pediatric Cardiology Physician
48926
CO
390200000X
Student in an Organized Health Care Education/Training Program
NO LICENSE
—
Other
Enumeration date
04/25/2007
Last updated
07/19/2025
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