Individual
AMY N EKBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3775 N MULFORD RD, ROCKFORD, IL 61114-5632
(779) 696-9202
(815) 637-9260
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-017032
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041378138
—
IL
Enumeration date
02/05/2018
Last updated
06/05/2026
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