IndividualActive
Amanda Wilson, ATC
NPI 1548238066 · Sports Medicine (Emergency Medicine) Physician · La Grange Highlands, IL
Provider details
- NPI number
- 1548238066
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Female
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5544 Willow Springs Rd
La Grange Highlands, IL 60525-3474
Phone: (708) 205-1961
Street-level locationGet directions
Mailing address
5544 Willow Springs Rd
La Grange Highlands, IL 60525-3474
Registry dates
- Enumerated
- 2006-03-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.