Individual
AMANDA ENDRIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPA
Contact information
Practice address
803 NORTH 1ST STREET, VIENNA, IL 62995
(618) 658-2811
(618) 658-2439
Mailing address
513 N MAIN ST, ANNA, IL 62906-1668
(618) 833-4471
(618) 833-6267
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085004839
IL
Other
Enumeration date
10/29/2013
Last updated
04/25/2016
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