Individual
AMY M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1405 W PARK ST, URBANA, IL 61801-2367
(217) 337-3240
(217) 337-3241
Mailing address
1405 W PARK ST, URBANA, IL 61801-2367
(217) 337-3240
(217) 337-3241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017853
IL
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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