Amanda Marie Diamond, PA-C

NPI #1003147406 in Crystal Lake, Illinois

Provider Information

NPI Number: 1003147406
Entity Type: Individual
Name: Amanda Marie Diamond, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 25, 2010
Last Updated: Aug 2, 2012

Practice Location

Address: 360 STATION DRIVE
Address 2: SUITE 201
City: Crystal Lake
State: Illinois
ZIP Code: 60014-7978
Phone: (815) 455-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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