Individual
AMANDA KOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
222 W ONTARIO ST STE 310, CHICAGO, IL 60654-3621
(312) 880-9697
Mailing address
222 W ONTARIO ST STE 310, CHICAGO, IL 60654-3621
(312) 880-9697
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.023424
IL
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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