Individual
NELLY Y AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PMD
Contact information
Practice address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Mailing address
2400 N ROCKTON AVE, EMERGENCY MEDICINE DEPT, ROCKFORD, IL 61103-3655
(815) 971-3333
(815) 968-0360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036136816
IL
207P00000X
Emergency Medicine Physician
Primary
66004
WI
207T00000X
Neurological Surgery Physician
48093
MN
Other
Enumeration date
01/25/2006
Last updated
03/31/2026
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