Individual
AMI M DOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
(815) 433-0067
Mailing address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
(815) 433-0067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-005149
IL
Other
Enumeration date
06/05/2008
Last updated
09/10/2012
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