Individual
AMANDA CARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1333 W BELMONT AVE STE 100, CHICAGO, IL 60657-5785
(312) 694-2273
(312) 694-1875
Mailing address
1333 W BELMONT AVE STE 100, CHICAGO, IL 60657-5785
(312) 694-2273
(312) 694-1875
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021322
IL
Other
Enumeration date
10/10/2014
Last updated
08/01/2020
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