Individual
AMANDA BIELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
14741 S RAVINIA AVE, ORLAND PARK, IL 60462-3100
(708) 226-8125
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006459
IL
Other
Enumeration date
09/27/2017
Last updated
12/08/2017
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