Individual
AMANDA KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E LINCOLN HWY, NEW LENOX, IL 60451-1909
(815) 215-2069
Mailing address
501 E LINCOLN HWY, NEW LENOX, IL 60451-1909
(815) 215-2069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.298761
IL
225400000X
Rehabilitation Practitioner
051.298761
IL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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