Individual
MRS. MARY ANNE AMIDEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
440 S MCHENRY AVE, CRYSTAL LAKE, IL 60014-7147
(815) 356-5977
(815) 356-9100
Mailing address
440 S MCHENRY AVE, CRYSTAL LAKE, IL 60014-7147
(815) 356-5977
(815) 356-9100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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