Individual
AMY MICHELLE BETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-2653
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-2653
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.005151
IL
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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