NPI

Amanda Mulcrone

NPI 1699125823

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2016-06-19
Last updated
2022-10-21

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Specialties

Licenses

License MO
2016018512
License TX
S0750
License IL
036161011

Location

Practice location
1775 Dempster St
City
Park Ridge IL
Postal code
60068-1143
Phone
(847) 723-5150

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Park Ridge, IL. 3,135 records in the public file.

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