Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda M Fagan

Individual provider Paramedic · NPI 1790664142

Amanda M Fagan is a Paramedic in Gardner, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

206 Depot St
Gardner, IL 60424-9441
Phone: (815) 557-0980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Paramedic (primary) Taxonomy 146L00000X · Licence 000828467 (IL)

Record details

NPI number1790664142
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address684 Circle Dr, Coal City, IL 60416-4003