Individual
MRS. AMY LYNN KATSIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1405 NORTH GREEN MOUNT ROAD, SUITE 511, O'FALLON, IL 62269-3494
(618) 558-7888
Mailing address
391 FRANK SCOTT PKWY E STE A, FAIRVIEW HEIGHTS, IL 62208-3979
(618) 558-7888
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209016290
IL
Other
Enumeration date
04/08/2020
Last updated
03/25/2022
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