Willen, Amy Elizabeth

Willen, Amy Elizabeth is an individual health care provider with primary practice located at 715 Lake St Suite 273, Oak Park IL 60301-1422. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Willen, Amy Elizabeth can be contacted via phone (708) 848-3800.

Contact Information

Primary practice address
715 Lake St Suite 273 Oak Park IL 60301-1422
Phone: (708) 848-3800
Fax: (708) 848-0008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 712808 Texas
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209.006855 Illinois

Profile Details

NPI number 1194887356
LBN Legal business name Willen, Amy Elizabeth
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated May 13th, 2012 - about 12 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 1194887356 NPPES
Texas MEDICAID 175342802

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