Individual
AMANDA LAMACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
1701 W CHICAGO AVE APT 2, CHICAGO, IL 60622-5009
(708) 805-2960
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.423673
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.024451
IL
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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