Individual
AMANDA WRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN MSN FNP-BC
Contact information
Practice address
2477 BELLA DR, PINGREE GROVE, IL 60140-6453
(224) 650-4498
Mailing address
2477 BELLA DR, PINGREE GROVE, IL 60140-6453
(224) 650-4498
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.031652
IL
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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