Individual
DR. AMANDA M WIANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 334-5566
(815) 759-4008
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 334-5566
(815) 759-4008
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036157689
IL
2085R0202X
Diagnostic Radiology Physician
35.123614
OH
208600000X
Surgery Physician
57.015171
OH
Other
Enumeration date
11/13/2008
Last updated
11/09/2023
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