Individual
AMY B. PAWASARAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
2300 CHILDRENS PLAZA, BOX #155, CHICAGO, IL 60614-3363
(773) 880-3684
(773) 880-3208
Mailing address
2300 CHILDRENS PLAZA, BOX #155, CHICAGO, IL 60614-3363
(773) 880-3684
(773) 880-3208
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209001371
IL
363L00000X
Nurse Practitioner
Primary
209001371
IL
Other
Enumeration date
05/04/2006
Last updated
06/19/2026
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