Individual
DR. AMANDA FULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM, DACVIM
Contact information
Practice address
3927 W BELMONT AVE, CHICAGO, IL 60618-5170
(773) 516-5800
Mailing address
3927 W BELMONT AVE, CHICAGO, IL 60618-5170
(773) 516-5800
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
090010353
IL
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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