Individual
AMIE CHRISTINE WILBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 865-2141
Mailing address
2609 N DAYTON ST APT 3, CHICAGO, IL 60614-2305
(269) 806-3625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041410683
IL
163W00000X
Registered Nurse
28240509A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28240509A
IN
Other
Enumeration date
01/04/2018
Last updated
01/10/2018
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