Villagomez, Amanda M

Villagomez, Amanda M is an individual health care provider with primary practice located at 2440 S Laramie Ave Unit 50646 , Cicero IL 60804-5147. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Villagomez, Amanda M can be contacted via phone (773) 414-6881.

Contact Information

Primary practice address
2440 S Laramie Ave Unit 50646 Cicero IL 60804-5147
Phone: (773) 414-6881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.028589 Illinois

Profile Details

NPI number 1255196267
LBN Legal business name Villagomez, Amanda M
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2024
Last updated Feb 19th, 2024 - about 2 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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