IndividualActive
Amanda Corral
NPI 1942974647 · Medical Physician Assistant · Chicago, IL
Provider details
- NPI number
- 1942974647
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1253 N Milwaukee Ave
Chicago, IL 60622-9318
Phone: (773) 435-8247
Approximate (ZIP-level) locationGet directions
Mailing address
1253 N Milwaukee Ave
Chicago, IL 60622-9318
Registry dates
- Enumerated
- 2021-08-05
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.