Biddle, Amanda

Biddle, Amanda is an individual health care provider with primary practice located at 1909 Cheker Sq , East Hazel Crest IL 60429-1442. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Biddle, Amanda can be contacted via phone (708) 647-3333.

Contact Information

Primary practice address
1909 Cheker Sq East Hazel Crest IL 60429-1442
Phone: (708) 647-3333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1720581580
LBN Legal business name Biddle, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2018
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720581580 NPPES
Illinois MEDICAID 101YA0400X

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