Individual
AMANDA MARIE RZANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 W 156TH ST SUITE 102, HARVEY, IL 60426-2647
(708) 825-9683
Mailing address
116 S SUMMIT AVE, VILLA PARK, IL 60181-2647
(773) 732-7398
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
041447676
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209026927
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041447676
LICENSE NUMBER
IL
Enumeration date
01/13/2023
Last updated
05/23/2024
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