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1104303296
AMANDA ISRAEL
CHICAGO, IL
NPI
1104303296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: IL 036.146107)
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
AMANDA ISRAEL MD
5841 S MARYLAND AVE # 4076M410
CHICAGO, IL 60637-1443
Phone number: 773-702-8597
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Mailing Address
AMANDA ISRAEL MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150
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