Individual
AMANDA BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
250 CENTER DR STE 101, VERNON HILLS, IL 60061-1582
(847) 918-7050
(847) 796-4318
Mailing address
250 CENTER DR STE 101, VERNON HILLS, IL 60061-1582
(847) 918-7050
(847) 796-4318
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.013294
IL
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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