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Amanda Buchanan, M.D.

Internal Medicine in Melrose Park, IL. Individual provider (NPI-1).

NPI number1508136102
StatusActive
Last updated in NPPESOct 8, 2015

Details

NPI
1508136102
Entity type
Individual (NPI-1)
Name
Amanda Buchanan
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 12, 2012
Last updated
Oct 8, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036136914ILYes
207R00000X Internal Medicine125060715IL

Practice location

1225 W Lake St
Melrose Park, IL 60160-4039

Phone 708-938-4000

Mailing address

506 N Cuyler Ave Apt 2
Oak Park, IL 60302-2378

Phone 630-740-8243

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