Individual
AMANDA HEEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 2125, CHICAGO, IL 60611-2927
(312) 695-0990
Mailing address
676 N SAINT CLAIR ST, SUITE 2125, CHICAGO, IL 60611-2927
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015568
IL
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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