Individual
AMANDA DAWN SCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT-LANA, LMT
Contact information
Practice address
2151 WAUKEGAN RD, BANNOCKBURN, IL 60015-1885
(847) 444-1536
(847) 444-1320
Mailing address
5101 W WILSON AVE, CHICAGO, IL 60630-3905
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
056010732
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056010732
LICENSE NUMBER
IL
Enumeration date
06/01/2021
Last updated
06/01/2021
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