Individual
AMY GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
(708) 272-4150
Mailing address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
(708) 272-4150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209015326
IL
363LF0000X
Family Nurse Practitioner
Primary
APRN9470249
FL
Other
Enumeration date
02/01/2017
Last updated
12/09/2021
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