Amanda S Wilson, ATC is a
Emergency Medicine - Sports Medicine physician based in La Grange Highlands, Illinois. Amanda S Wilson is licensed to practice in Illinois (license number ) and her current practice location is 5544 Willow Springs Rd, La Grange Highlands, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 205-1961.
NPI number for Amanda S Wilson is 1548238066 and her current mailing address is 5544 Willow Springs Rd, La Grange Highlands, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548238066.
Physician's Profile
Full Name | Amanda S Wilson |
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Gender | Female |
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Speciality | Emergency Medicine - Sports Medicine |
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Location | 5544 Willow Springs Rd, La Grange Highlands, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548238066
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Amanda S Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548238066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PS0010X | Emergency Medicine - Sports Medicine | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda S Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda S Wilson, ATC 5544 Willow Springs Rd, La Grange Highlands, IL 60525-3474 Ph: () - | Amanda S Wilson, ATC 5544 Willow Springs Rd, La Grange Highlands, IL 60525-3474 Ph: (708) 205-1961 |
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