Individual
AMANDA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5625 N RIDGE AVE, CHICAGO, IL 60660-3434
(866) 825-3227
Mailing address
161 WASHINGTON STREET, 14TH FLOOR, EIGHT TOWER BRIDGE, SUITE 1400, CONSHOHOCKEN, PA 19428
(866) 825-3227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209008019
IL
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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