Macke, Amanda

Macke, Amanda is an individual health care provider with primary practice located at 1200 West State Street , Rockford IL 61102-2112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Macke, Amanda can be contacted via phone (815) 490-1600.

Contact Information

Primary practice address
1200 West State Street Rockford IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209013183 Illinois

Profile Details

NPI number 1407309941
LBN Legal business name Macke, Amanda
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2016
Last updated Jan 16th, 2020 - about 5 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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