Individual
AMANDA TEMPLE WALBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE # MC4028, CHICAGO, IL 60637-1443
(773) 702-6842
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036168253
IL
Other
Enumeration date
04/19/2019
Last updated
08/20/2025
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