Individual
AMANDA CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1890 SILVER CROSS BLVD STE 420, NEW LENOX, IL 60451-9583
(815) 320-6030
Mailing address
1890 SILVER CROSS BLVD STE 420, NEW LENOX, IL 60451-9583
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.031198
IL
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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