Individual
AMANDA ENNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4709 GOLF RD STE 900, SKOKIE, IL 60076-1244
(847) 676-5394
Mailing address
4709 GOLF RD STE 900, SKOKIE, IL 60076-1244
(847) 676-5394
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.015883
IL
Other
Enumeration date
04/14/2017
Last updated
05/10/2021
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