Individual
AMANDA WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COMS
Contact information
Practice address
5000 S. 5TH AVE, HINES VA HOSPITAL, BLIND REHABILITATION CTR BLDG 113, HINES, IL 60141
(708) 202-2273
Mailing address
3528 N CLAREMONT AVE, CHICAGO, IL 60618-6022
(559) 903-7678
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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