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Individual

MS. AMY J RUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
446 E ONTARIO ST, 7TH FLOOR, CHICAGO, IL 60611-4418
(312) 695-5060
Mailing address
446 E ONTARIO ST, 7TH FLOOR, CHICAGO, IL 60611-4418

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.013613
IL

Other

Enumeration date
12/01/2015
Last updated
12/01/2015
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