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Contact Information

AMANDA FISHBACK
800 W 5TH AVENUE SUITE 106 F/G
NAPERVILLE, IL60563
 Phone: 630-639-1655
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for AMANDA FISHBACK · (Female)

NPI Number 1437450863
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2010
Last updated 11/17/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # F21200390838
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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