Individual
AMY BROGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 N SHERIDAN RD, WAUKEGAN, IL 60085-2161
(847) 360-3000
Mailing address
2030 N 51ST ST, MILWAUKEE, WI 53208-1746
(608) 732-4755
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.481312
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
209.028581
IL
Other
Enumeration date
06/30/2021
Last updated
11/01/2023
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