Underwood, Amy Elizabeth

Underwood, Amy Elizabeth is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050-8409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Underwood, Amy Elizabeth can be contacted via phone (815) 759-3100.

Contact Information

Primary practice address
4201 W Medical Center Dr Mchenry IL 60050-8409
Phone: (815) 759-3100
Fax: (815) 363-9044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-004651 Illinois

Profile Details

NPI number 1942300033
LBN Legal business name Underwood, Amy Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jun 30th, 2021 - about 4 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 1942300033 NPPES
Minnesota Other 86G34UN BCBS OF MN
Minnesota Other HP37197 BCBS OF MN
Minnesota Other 1030499 BCBS OF MN
Minnesota Other 1600377 BCBS OF MN
Minnesota Other 6609328 BCBS OF MN
Minnesota MEDICAID 414378700 BCBS OF MN

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