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Individual

MRS. AMY KATHLEEN ROURKE WASSERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN, CNM

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209.027714
IL
367A00000X
Advanced Practice Midwife
Primary
277.002578
IL

Other

Enumeration date
04/02/2012
Last updated
02/03/2026
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