Individual
AMY MANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P., PHD
Contact information
Practice address
680 N LAKE SHORE DR, #123, CHICAGO, IL 60611-4546
(312) 642-5515
(312) 642-0753
Mailing address
680 N LAKE SHORE DR, #123, CHICAGO, IL 60611-4546
(312) 642-5515
(312) 642-0753
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209004161
IL
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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