Individual
MR. ALAN ANTHONY AMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP, APRN
Contact information
Practice address
333 N MICHIGAN AVE STE 2017, CHICAGO, IL 60601-4015
(312) 229-0029
(844) 905-1504
Mailing address
35 E WACKER DR STE 1764, CHICAGO, IL 60601-2271
(312) 229-0029
(844) 905-1504
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
041.387237
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277000055
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922767573
GROUP NPI
—
Enumeration date
12/16/2010
Last updated
12/04/2024
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