Individual
AMY PACELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4950 W 95TH ST, OAK LAWN, IL 60453-2504
(708) 576-8150
Mailing address
4950 W 95TH ST, OAK LAWN, IL 60453-2504
(708) 576-8150
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209014700
IL
Other
Enumeration date
08/22/2016
Last updated
12/31/2021
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