Individual
MRS. AMANDA LOUISE PLANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 CHICAGO AVE, OAK PARK, IL 60302-2233
(708) 524-1050
Mailing address
547 MONROE AVE, RIVER FOREST, IL 60305-1901
(708) 366-8234
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
07/10/2007
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