Individual
AMY L MARITOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1325 N HIGHLAND AVE, AURORA, IL 60506-1449
(630) 859-2222
Mailing address
2791 STOCKBERRY LN, WEST CHICAGO, IL 60185-6197
(630) 269-7231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003479
STATE LICENSE NUMBER
IL
Enumeration date
08/20/2009
Last updated
12/13/2012
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