Individual
AMBER DALE HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 N 9TH ST # 4A, SPRINGFIELD, IL 62702-5310
(217) 545-8000
(217) 545-4779
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(217) 545-2101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036164848
IL
2080P0006X
Developmental - Behavioral Pediatrics Physician
036164848
IL
Other
Enumeration date
05/07/2020
Last updated
06/21/2023
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