Individual ProviderAmanda J HoukNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1325 Remington Rd Ste X, Schaumburg, IL 60173-4815(630) 237-4500(708) 465-7436PECOS EnrollmentBased on the most recent information from CMS, provider Amanda J Houk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1295469385Provider TypeIndividualFull NameHouk, Amanda JGenderFemaleSole ProprietorYesEnumeration Date7/13/2022Last Updated12/9/2022Contact InformationPractice LocationPractice Address1325 Remington Rd Ste X, Schaumburg, IL 60173-4815Phone(630) 237-4500FaxUnlisted FaxMailing LocationMailing Address19650 Everett Ln, Mokena, IL 60448-7875Phone(708) 465-7436FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209.026540IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer