Individual
AMANDA M VILLAGOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2440 S LARAMIE AVE UNIT 50646, CICERO, IL 60804-5147
(773) 414-6881
Mailing address
2440 S LARAMIE AVE UNIT 50646, CICERO, IL 60804-5147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.028589
IL
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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