Wlodek, Amy Christine
Wlodek, Amy Christine is an sole proprietor health care provider with primary practice located at 3880 Salem Lake Dr Ste F , Long Grove IL 60047-5292. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wlodek, Amy Christine can be contacted via phone (847) 719-2220.Contact Information
Primary practice address
3880 Salem Lake Dr Ste F
Long Grove IL 60047-5292
Phone: (847) 719-2220
Fax: (847) 719-2265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209023025 | Illinois |
Profile Details
| NPI number | 1831772912 |
|---|---|
| LBN Legal business name | Wlodek, Amy Christine |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2021 |
| Last updated | Dec 20th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831772912 | NPPES |
| Illinois | Other | 2020168333 | BOARD CERT |
| Illinois | MEDICAID | 209023025 | BOARD CERT |
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