Individual
AMY ANGELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
101 E PLUMMER BLVD, CHATHAM, IL 62629-8047
(217) 483-3487
(217) 483-8150
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 588-2624
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018684
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041417529
RN LICENSES
IL
Enumeration date
01/03/2019
Last updated
04/08/2019
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