Decimo, Amanda M

Decimo, Amanda M is an individual health care provider with primary practice located at 1301 W 22Nd St #610, Oak Brook IL 60523-2006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Decimo, Amanda M can be contacted via phone (630) 537-1720.

Contact Information

Primary practice address
1301 W 22Nd St #610 Oak Brook IL 60523-2006
Phone: (630) 537-1720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209.007301 Illinois

Profile Details

NPI number 1467583302
LBN Legal business name Decimo, Amanda M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jan 6th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467583302 NPPES
Other G4231 BCBSFL
MEDICAID 308217200 BCBSFL

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