Individual
AMY ELIZABETH WILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
715 LAKE ST, SUITE 273, OAK PARK, IL 60301-1422
(708) 848-3800
(708) 848-0008
Mailing address
3225 W PIERCE AVE, #2, CHICAGO, IL 60651-2454
(713) 569-5997
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.006855
IL
367A00000X
Advanced Practice Midwife
712808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175342802
—
TX
Enumeration date
12/14/2006
Last updated
05/13/2012
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