Amesbury, Victoria

Amesbury, Victoria is an individual health care provider with primary practice located at 720 Osterman Ave Suite 103, Deerfield IL 60015-4471. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Amesbury, Victoria can be contacted via phone (847) 945-3030.

Contact Information

Primary practice address
720 Osterman Ave Suite 103 Deerfield IL 60015-4471
Phone: (847) 945-3030
Fax: (847) 945-3033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-079332 Illinois

Profile Details

NPI number 1982763926
LBN Legal business name Amesbury, Victoria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Apr 19th, 2016 - about 10 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 1982763926 NPPES
Illinois MEDICAID 036079332
Illinois Other 110201430
Illinois Other 1881620151

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