Individual
AMANDA BARGIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3775 N MULFORD RD, ROCKFORD, IL 61114-5632
(779) 696-9202
Mailing address
1029 CONEY ISLAND DR, LOVES PARK, IL 61111-8914
(220) 243-0404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.032747
IL
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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