Wendel, Amanda B.

Wendel, Amanda B. is an individual health care provider with primary practice located at 2900 Foxfield Rd Ste 101 , St Charles IL 60174-5799. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Wendel, Amanda B. can be contacted via phone (630) 315-6500.

Contact Information

Primary practice address
2900 Foxfield Rd Ste 101 St Charles IL 60174-5799
Phone: (630) 315-6500
Fax: (630) 315-6519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036127582 Illinois

Profile Details

NPI number 1699973131
LBN Legal business name Wendel, Amanda B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Jul 18th, 2019 - about 7 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 1699973131 NPPES
Illinois Other 906720 MEDICARE PTAN

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