Individual provider · Type 1 NPI
Amanda M. Fagan
Paramedic · Gardner, IL
NPI number
1790664142
Active
Practice location
206 Depot St
Gardner, IL 60424-9441
Mailing address
684 Circle Dr
Coal City, IL 60416-4003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Paramedic Primary | 146L00000X | 000828467 (IL) |
Paramedic: An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
Another provider at this address
About NPI 1790664142
Amanda M. Fagan's National Provider Identifier is 1790664142, issued on Aug 29, 2025. The primary taxonomy on file is Paramedic (146L00000X), and the practice location is in Gardner, IL. The record was last updated on Aug 29, 2025.