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Individual
MR. ALAN ANTHONY AMBERG
Active
Individual
MR. ALAN ANTHONY AMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP, APRN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
041.387237
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277000055
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922767573
GROUP NPI
—
Enumeration date
12/16/2010
Last updated
12/04/2024
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