Amanda L Pfeiffer, PA-C
Physician Assistant in Evanston, IL. Individual provider (NPI-1).
NPI number1679106983
StatusActive
Last updated in NPPESMay 3, 2023
Details
- NPI
- 1679106983
- Entity type
- Individual (NPI-1)
- Name
- Amanda L Pfeiffer
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2020
- Certification date
- May 3, 2023
- Last updated
- May 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085008428 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | IL |
Practice location
1704 Maple Ave Ste 200Evanston, IL 60201-3134
Phone 847-926-0106 · Fax 312-694-2020
Mailing address
1704 Maple Ave Ste 200Evanston, IL 60201-3134
Phone 847-926-0106 · Fax 312-694-2020
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