Individual
AMELIA EILENE MERCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, AGPCNP-BC
Contact information
Practice address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(832) 492-7554
Mailing address
1725 W HARRISON ST STE 809, CHICAGO, IL 60612-3861
(312) 942-5904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.027294
IL
Other
Enumeration date
03/02/2023
Last updated
10/05/2023
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