Amanda C Nagle, | |
830 S Addison Ave, Villa Park, IL 60181-2877 | |
(630) 620-4433 | |
(630) 620-1148 |
Full Name | Amanda C Nagle |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 830 S Addison Ave, Villa Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851544894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 146.007476 (Illinois) | Primary |
Provider Name | Midwestern University |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538445317 PECOS PAC ID: 6305734773 Enrollment ID: O20120521000662 |
Mailing Address | Practice Location Address |
---|---|
Amanda C Nagle, 830 S Addison Ave, Villa Park, IL 60181-2877 Ph: (630) 620-4433 | Amanda C Nagle, 830 S Addison Ave, Villa Park, IL 60181-2877 Ph: (630) 620-4433 |
Stephanie Stimson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 | |
Junilane Lusung, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 South Addison Avenue, Villa Park, IL 60181 Phone: 630-620-4433 | |
Jihyun Jung, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 | |
Mrs. Susan E Moran, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1250 S Ardmore Ave, Villa Park, IL 60181 Phone: 630-530-3680 | |
Diane Meck Eisenberg, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 | |
Anne O'dowd, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 | |
Jamie Ann Bodden, M.S.CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 |