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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AMANDA EDGCOMB
NPI 1942112263
Licensed Practical Nurse in Peru, IL

Active since September 21, 2026
4461 PROGRESS BLVD, PERU, IL 61354(815) 223-9678 Get Directions Write a Review

NPPES record added: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Amanda Edgcomb NPPES

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

AMANDA EDGCOMB (NPI 1942112263) is an individual licensed practical nurse in Peru, Illinois, licensed in Illinois (043090718) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1942112263
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameAMANDA EDGCOMB
Location Address4461 PROGRESS BLVDPeru, IL 61354-1109
Mailing Address4461 Progress BlvdPeru, IL 61354-1109 · (815) 223-9678
Phone(815) 223-9678
Sole ProprietorNo
Enumeration DateSeptember 21, 2026
NPPES CertifiedSeptember 21, 2026
✔ NPI 1942112263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043090718
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4461 PROGRESS BLVD, Peru, IL 61354
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Other Providers at the Same Location NPPES 10

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

JODENE L FUENTES BSN, RN
Registered Nurse (Case Management)
4461 PROGRESS BLVD
PERU, IL 61354
Lasalle County (312) 244-9902
KELLY WITALKA
Registered Nurse
4461 PROGRESS BLVD
PERU, IL 61354
Lasalle County (815) 223-9678
BRITTNEY YERUSKI
Registered Nurse
4461 PROGRESS BLVD
PERU, IL 61354
Lasalle County (815) 223-9678
LESLIE DUNTEMANN LSW
Social Worker
4461 PROGRESS BLVD
PERU, IL 61354
Lasalle County (815) 223-9678
LAURA SCHWINGLE MSW
Social Worker (Clinical)
4461 PROGRESS BLVD
PERU, IL 61354
Lasalle County (815) 223-9678
TERRI TORRES
Registered Nurse (Case Management)
4461 PROGRESS BLVD
PERU, IL 61354
Lasalle County (708) 202-8387
ASHLEY FOSTER RN BSN
Registered Nurse
4461 PROGRESS BLVD
PERU, IL 61354
Lasalle County (815) 223-9678
HINES VAMC
Clinic/Center (VA)
4461 PROGRESS BLVD
PERU, IL 61354
Lasalle County (608) 821-7200

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 Edgcomb's NPI number?

The NPI number for Amanda Edgcomb is 1942112263. It was assigned to this individual provider in the NPPES registry on September 21, 2026.

Where is Amanda Edgcomb located?

Amanda Edgcomb practices at 4461 Progress Blvd, Peru, IL 61354. The listed phone number is (815) 223-9678.

What is Amanda Edgcomb's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Amanda Edgcomb was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.