Individual
AMY AMANDA HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 756-1521
Mailing address
2070 HOLT LN, SOUTH ELGIN, IL 60177-2205
(630) 688-5808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014644
IL
363LF0000X
Family Nurse Practitioner
A178667
IA
Other
Enumeration date
07/05/2016
Last updated
05/01/2024
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