person
Amanda Miyuki Dougherty, MD
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1629837877

Amanda Miyuki Dougherty is a Student in an Organized Health Care Education/Training Program based in Oak Park, IL. Amanda Miyuki Dougherty practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Amanda Miyuki Dougherty is 1629837877 and holds a License No. (Illinois).

The current practice location address for Amanda Miyuki Dougherty is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 408-463-8344.

Location: 2160 S 1St Ave, Maywood, IL, 60301-1499
person
Provider Profile Details
NPI Number
1629837877
Provider Name
Amanda Miyuki Dougherty
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2160 S 1St Ave, Maywood, IL, 60301-1499
Phone Number
408-463-8344
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
State
Zip
60153-3328
Phone Number
408-463-8344
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
State
Zip
60153-3328
Phone Number
408-463-8344
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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