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Individual
MRS. AMY MARIE MCCORMICK
Active
Individual
MRS. AMY MARIE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
209010286
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
C119377
IA
Other
Enumeration date
03/15/2013
Last updated
09/17/2026
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