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AMANDA MCBROOM APN
NPI 1215303656
Nurse Practitioner - Family in Oak Lawn, IL

Active since August 20, 2015
4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-5580(708) 684-4068 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2022, Apr 12, 2017 (2 updates tracked since 2017).

About Amanda Mcbroom Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MCBROOM APN (NPI 1215303656) is an individual family provider in Oak Lawn, Illinois, licensed in Illinois (209013123) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1215303656
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA MCBROOMCredential: APN
Location Address4440 W 95TH STOak Lawn, IL 60453-2600
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(708) 684-5580
Fax(708) 684-4068
Sole ProprietorYes
Enumeration DateAugust 20, 2015
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1215303656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209013123
4440 W 95TH ST, Oak Lawn, IL 60453
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK ADRIAN FAASSE MD
Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-4557
DR. MANDY LUMA ENSHIWAT M.D.
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-8000
DR. KIM MARIE MIILLER MA, PSYD
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-7482
JENNIFER MARSIGLIO
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5425
TRACI LYNN TAGUE MA, CCC-SLP
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-1989
ELIZABETH A FOLLIARD OTR/L
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5369
MICHAEL CIRONE M.D.
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5375
ANNA MANILLA
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (248) 701-7523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Mcbroom's NPI number?

The NPI number for Amanda Mcbroom is 1215303656. It was assigned to this individual provider in the NPPES registry on August 20, 2015.

Where is Amanda Mcbroom located?

Amanda Mcbroom practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-5580.

What is Amanda Mcbroom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amanda Mcbroom was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.