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Individual

AMANDA MARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
800 N WESTMORELAND RD STE 201, LAKE FOREST, IL 60045-1687
(847) 535-7647
(224) 271-3310
Mailing address
800 N WESTMORELAND RD STE 201, LAKE FOREST, IL 60045-1687
(847) 535-7647
(224) 271-3310

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010600
IL
363AM0700X
Medical Physician Assistant
085010600
IL

Other

Enumeration date
07/11/2024
Last updated
10/17/2024
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