Individual
AMANDA C SHILS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4965 E LOST BRIDGE RD, DECATUR, IL 62521-5139
(217) 864-5531
(217) 864-2449
Mailing address
1770 E LAKE SHORE DR, DECATUR, IL 62521-3832
(217) 464-1470
(217) 464-5163
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001947
IL
363AM0700X
Medical Physician Assistant
085001947
IL
Other
Enumeration date
08/30/2006
Last updated
02/15/2022
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