Individual
AMY WHILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3481 EXECUTIVE DR, MARENGO, IL 60152-9151
(815) 275-2827
Mailing address
3481 EXECUTIVE DR, MARENGO, IL 60152-9151
(815) 275-2827
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007886
IL
Other
Enumeration date
10/19/2018
Last updated
06/06/2020
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