Individual
MRS. AMY SUSAN PALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2515 N CLARK, CHICAGO, IL 60614
(312) 227-6060
Mailing address
BOX 107, 2300 CHILDRENS PLAZA, CHICAGO, IL 60614-3394
(312) 227-6060
(312) 227-9402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036059158
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059158
—
IL
Enumeration date
03/24/2006
Last updated
09/21/2011
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