Organization
AMV MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA VILLAGOMEZ FNP-BC (CEO)
(708) 320-1510
Entity
Organization
Contact information
Practice address
1406 S CHESTNUT DR, MOUNT PROSPECT, IL 60056-4520
(708) 320-1510
Mailing address
2440 S LARAMIE AVE UNIT 50646, CICERO, IL 60804-5147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
09/04/2024
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