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NPI Code Detail

MEDICARE: AMANDA SCHMICKER

MEDICARE: AMANDA SCHMICKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner209035120IL

General Provider Information

NPI Number : 1093653503
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA SCHMICKER
Provider Business Mailing Address
First Line : 909 RIDGEBROOK RD STE 300
Second Line :
City : SPARKS
State : MD
Zip : 21152-9477
Country : US
Telephone Number : 443-383-9300
Fax Number :
Provider Business Practice Location Address
First Line : 1901 N ROSELLE RD STE 800
Second Line :
City : SCHAUMBURG
State : IL
Zip : 60195-3186
Country : US
Telephone Number : 443-383-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 05/19/2026

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