Amanda Fishback
Contractor · Naperville, IL
Practice location
800 W 5TH Avenue Suite 106 F/GNaperville, IL 60563
- Phone
- (630) 639-1655
NPI record
- NPI
- 1437450863
- Entity type
- Individual (Type 1)
- Enumeration date
- November 17, 2010
- Last updated
- November 17, 2010
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
F21200390838 | IL |
About Amanda Fishback
Amanda Fishback is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 800 W 5TH Avenue Suite 106 F/G, Naperville, IL 60563. The NPI number 1437450863 was assigned on November 17, 2010 and the record was last updated on November 17, 2010.
Amanda Fishback lists a license in the registry: #F21200390838 (IL) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Amanda Fishback?
The NPI number is 1437450863.
What is the phone number of Amanda Fishback?
The phone number listed for the practice location is (630) 639-1655.
Where is Amanda Fishback located?
800 W 5TH Avenue Suite 106 F/G, Naperville, IL 60563.
What is the taxonomy code for Amanda Fishback?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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