Individual
MRS. AMANDA CHRISTINE PERROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
235 S GARY AVE STE 100, BLOOMINGDALE, IL 60108-2213
(630) 893-9600
Mailing address
680 N LAKE SHORE DR STE 1000, CHICAGO, IL 60611-8709
(312) 695-0665
(630) 499-2399
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
209014715
IL
363LF0000X
Family Nurse Practitioner
Primary
209014715
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209014715
—
IL
Enumeration date
09/07/2016
Last updated
09/26/2019
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