Amy Kathleen Rourke Wasserman APN, CNM

NPI 1770849986 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1770849986
Gender Female
Enumeration Date 04/02/2012
Last Updated 04/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
6705 N IONIA AVE
CHICAGO IL, 60646-2836, US
Phone (773) 484-0524
Fax
Business Location
6705 N IONIA AVE
CHICAGO IL, 60646-2836, US
Phone (773) 484-0524
Fax
Toxanomy
Taxonomy Code 367A00000X
License State Illinois
License Number 209.009468
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According to our database, Mrs. Amy Kathleen Rourke Wasserman APN, CNM NPI is 1770849986, taxonomy code is 367A00000X and license number is 209.009468, license state is located at Illinois. Amy Kathleen Rourke Wasserman APN, CNM physically located at 6705 N Ionia Ave, Chicago IL, 60646-2836. NPI Number Amy Kathleen Rourke Wasserman APN, CNM has the Individual type.

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1770849986 NPI number is provided on an as is basis without warranty of any kind. 1770849986 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Kathleen Rourke Wasserman APN, CNM are for informational purposes only.