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

Individual provider Medical Physician Assistant · NPI 1558813907

Amanda Susan Boo, PA is a Medical Physician Assistant in Riverside, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2910 Harlem Ave
Riverside, IL 60546-1785
Phone: (708) 447-4267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085006069 (IL)

Record details

NPI number1558813907
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 2, 2016
Last updated in NPPESNovember 2, 2016