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Individual

AMBER NEWLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2101 JAMES ST, LAWRENCEVILLE, IL 62439-2027
(618) 943-3334
Mailing address
16078 STATE ROUTE 1, LAWRENCEVILLE, IL 62439-4503
(618) 971-0161

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
160004306
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N450-0167-6864
DRIVERS LICENSE
IL
Enumeration date
01/21/2019
Last updated
07/21/2022
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