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Individual

AMANDA L FOIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.011799
IL
363L00000X
Nurse Practitioner
A114990
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01359969
RR MEDICARE
IA
01
P01382957
RR MEDICARE
IL
Enumeration date
07/30/2014
Last updated
07/15/2025
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