Individual
AMANDA M. SCHALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9711 SKOKIE BLVD, SUITE J, SKOKIE, IL 60077-1384
(847) 675-9711
Mailing address
9711 SKOKIE BLVD, SUITE J, SKOKIE, IL 60077-1384
(847) 675-9711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-005169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-005169
ILLINOIS LICENSE
IL
Enumeration date
09/24/2014
Last updated
09/24/2014
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