AMANDA C DAVENPORT

ORLAND PARK, IL
NPI1922331354
Former NameAMANDA C STRECKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085003583)
Enumeration Date2009-09-17
Last Update Date2021-03-03
Business Address
Mrs. AMANDA C DAVENPORT PA-C
9570 W 159TH ST
ORLAND PARK, IL 60467-5504
Phone number: 708-675-7070
Mailing Address
Mrs. AMANDA C DAVENPORT PA-C
PO BOX 544 DEPT 5390
MILWAUKEE, WI 53201-0544
Phone number: 815-713-2600