Individual provider · Type 1 NPI

Amanda M. Tucker

Medical Physician Assistant · Chicago, IL

NPI number 1275047656 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr, Suite 300
Burr Ridge, IL 60527-5919

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085006406 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1275047656

Amanda M. Tucker's National Provider Identifier is 1275047656, issued on Nov 21, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2022.