Gawelek, Amanda

Gawelek, Amanda is an individual health care provider with primary practice located at 5001 N University St , Peoria IL 61614-4799. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gawelek, Amanda can be contacted via phone (309) 693-2225.

Contact Information

Primary practice address
5001 N University St Peoria IL 61614-4799
Phone: (309) 693-2225
Fax: (309) 693-2228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209013391 Illinois

Profile Details

NPI number 1912379777
LBN Legal business name Gawelek, Amanda
Credentials NP-FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2015
Last updated Jan 26th, 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 1912379777 NPPES
Illinois Other 209013391 STATE LICENSE

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