Individual
PHYLLIS AMABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4200 W PETERSON AVE, SUITE 103, CHICAGO, IL 60646-6074
(773) 777-4516
Mailing address
4200 W PETERSON AVE, SUITE 103, CHICAGO, IL 60646-6074
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036068969
IL
Other
Enumeration date
08/15/2006
Last updated
03/11/2010
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