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Individual

AMANDA JANE WOJCIECHOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
825 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3218
(475) 732-8008
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.149749
IL
207Q00000X
Family Medicine Physician
125.068671
IL

Other

Enumeration date
03/23/2016
Last updated
05/12/2022
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