Individual
AMANDA CAROL HARTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-3548
(312) 227-9640
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-3548
(312) 227-9640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA.15797-NP
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
209014456
IL
Other
Enumeration date
06/24/2014
Last updated
03/17/2018
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