Individual
MRS. AMANDA A STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5300
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5300
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.0100921
IL
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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