Individual
AMANDA LYNN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(708) 923-4000
Mailing address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(708) 923-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
85003878
IL
363A00000X
Physician Assistant
PA53923
CA
Other
Enumeration date
11/15/2010
Last updated
09/18/2020
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