Individual
AMANDA JAYNE CAMALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1504 W HURON ST # 1, CHICAGO, IL 60642-6250
(630) 734-1352
Mailing address
3 BRIGHTON PL, BURR RIDGE, IL 60527-5751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.475308
IL
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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