Individual
DR. AMANDA TANNEHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
28956 W IL-120, LAKEMOOR, IL 60051
(815) 363-8888
Mailing address
2621 SANDPIPER TRL, WEST CHICAGO, IL 60185-5922
(630) 818-6474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.037220
IL
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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