| Doctor Name: | AMANDA BROUGHAM |
| NPI Number: | 1043605942 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 180009382 |
| Business Practice Address: | 1010 Lake St Suite 430 Oak Park, IL - 603011147 |
| Business Phone Number: | 7736021238 |
| Business Fax Number: | |
| Mailing Address: | 1010 Lake St, Suite 430 OAK PARK |
| State: | IL |
| Postal Code: | 603011147 |
| Phone Number: | 7736021238 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2015 |
| NPI Last Update Date: | 03/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180009382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |