Individual provider · Type 1 NPI

Amanda Hernandez Marques, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1083520126 Active

Practice location

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Mailing address

425 W Surf St Apt 508
Chicago, IL 60657-6139

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125.088482 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083520126

Amanda Hernandez Marques, MD's National Provider Identifier is 1083520126, issued on Aug 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Aug 19, 2026.