Individual
AMY RAE HUNTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 E SOUTH ST, UNIT F, PLANO, IL 60545-1417
(630) 552-7166
Mailing address
115 E SOUTH ST, STE F, PLANO, IL 60545-1595
(815) 354-6777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-005421
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-005421
ILLINOIS LICENSE
IL
Enumeration date
03/23/2015
Last updated
04/06/2018
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