Individual
DR. MICHAEL DENNIS AMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2650 RIDGE AVE, DIVISION OF NEONATOLOGY, WALGREEN BLDG RM 1505, EVANSTON, IL 60201-1718
(847) 570-2033
(847) 570-0231
Mailing address
2650 RIDGE AVE, DIVISION OF NEONATOLOGY, WALGREEN BLDG RM 1505, EVANSTON, IL 60201-1718
(847) 570-2033
(847) 570-0231
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036069170
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036069170
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069170
—
IL
01
—
1620385
BLUE SHIELD
IL
Enumeration date
10/19/2006
Last updated
03/31/2021
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