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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831772912 NPPES
Illinois Other 2020168333 BOARD CERT
Illinois MEDICAID 209023025 BOARD CERT

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