MEDICARE: AMANDA MICHELE DINARDI OD

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
1	152W00000X	Optometrist	046.011813	IL

General Provider Information

NPI Number	:	1396510517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MICHELE DINARDI OD

Provider Business Mailing Address
First Line	:	7208 191ST ST
Second Line	:
City	:	TINLEY PARK
State	:	IL
Zip	:	60487-9378
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1142 S DELANO CT W
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-3733
Country	:	US
Telephone Number	:	312-583-0499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2023
Last Update Date	:	05/27/2026

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