Halverson, Amy

Halverson, Amy is an individual health care provider with primary practice located at 680 N Lake Shore Dr Suite 1000, Chicago IL 60611-4546. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Halverson, Amy can be contacted via phone (312) 695-9797.

Contact Information

Primary practice address
680 N Lake Shore Dr Suite 1000 Chicago IL 60611-4546
Phone: (312) 695-9797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036104987 Illinois
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036104987 Illinois

Profile Details

NPI number 1568498186
LBN Legal business name Halverson, Amy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Feb 12th, 2013 - about 11 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 1568498186 NPPES
Illinois MEDICAID 036104987

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