IndividualActive
Amanda Miller
NPI 1114397619 · Early Intervention Provider Agency · Chicago, IL
Provider details
- NPI number
- 1114397619
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
3416 N Damen Ave Apt 1f
Chicago, IL 60618-6179
Phone: (419) 265-0849
Approximate (ZIP-level) locationGet directions
Mailing address
3416 N Damen Ave Apt 1f
Chicago, IL 60618-6179
Registry dates
- Enumerated
- 2015-09-28
- Last updated
- 2015-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.