AMANDA ANDREWS, PA - NPI NUMBER 1154377505

Summary

Provider Name: AMANDA ANDREWS, PA

NPI Number: 1154377505

Clasification: Physician Assistant (363A00000X)

Address:
9000 WAUKEGAN RD
SUITE 200
MORTON GROVE, IL
ZIP 60053

Phone Number: (847) 375-3000



Detailed Information

Amanda Andrews, PA is a physician assistant in Morton Grove, IL. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. The assigned NPI number for this provider is 1154377505 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

9000 WAUKEGAN RD
SUITE 200
MORTON GROVE, IL
ZIP 60053-111
Phone: (847) 375-3000

The enumeration date for this NPI number is 5/26/2006 and was last updated on 7/9/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363A00000X Physician Assistant IL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 Q 60854 MEDICARE UPIN IL

NPI Record

No. Field Name Field Value
1 NPI 1154377505
2 Entity Type Code 1
3 Provider Last Name Legal Name ANDREWS
4 Provider First Name AMANDA
5 Provider Credential Text PA
6 Provider First Line Business Practice Location Address 9000 WAUKEGAN RD
7 Provider Second Line Business Practice Location Address SUITE 200
8 Provider Business Practice Location Address City Name MORTON GROVE
9 Provider Business Practice Location Address State Name IL
10 Provider Business Practice Location Address Postal Code 600532111
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 8473753000
13 Provider Enumeration Date 5/26/2006
14 Last Update Date 7/9/2007
15 Provider Gender Code F
16 Healthcare Provider Taxonomy Code 1 363A00000X
17 Provider License Number State Code 1 IL
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Other Provider Identifier 1 Q 60854
20 Other Provider Identifier Type Code 1 02
21 Other Provider Identifier State 1 IL
22 Is Sole Proprietor X

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.