Individual
AMY MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4965 E LOST BRIDGE RD, DECATUR, IL 62521-5139
(217) 864-5531
(217) 864-2449
Mailing address
3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
(217) 492-9695
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015064
IL
Other
Enumeration date
11/30/2016
Last updated
08/19/2022
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