Individual
AMANDA MAE OLIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7499
(630) 527-3000
Mailing address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7499
(630) 527-3000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085008440
IL
Other
Enumeration date
03/08/2021
Last updated
05/17/2024
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