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

MS. Amanda M Stucky, PA-C

Individual provider Registered Dietitian · NPI 1871803387

MS. Amanda M Stucky, PA-C is a Registered Dietitian in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone: (414) 290-6720
Fax: (414) 290-6755
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.005523 (IL)
Registered Dietitian Taxonomy 133V00000X (IL)

Record details

NPI number1871803387
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2010
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021

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